Healthcare Provider Details

I. General information

NPI: 1992577837
Provider Name (Legal Business Name): TNT GAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2023
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8360 W 3RD ST
LOS ANGELES CA
90048-4311
US

IV. Provider business mailing address

401 S LA JOLLA AVE
LOS ANGELES CA
90048-4421
US

V. Phone/Fax

Practice location:
  • Phone: 323-496-3229
  • Fax:
Mailing address:
  • Phone: 323-496-3229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. TALLIE NOUROLLAH
Title or Position: FOUNDER
Credential:
Phone: 323-496-3229