Healthcare Provider Details

I. General information

NPI: 1679493241
Provider Name (Legal Business Name): TPIRC MEDICAL FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 HUDSON ST STE 303
HOBOKEN NJ
07030-5641
US

IV. Provider business mailing address

PO BOX 2246
SEAL BEACH CA
90740-1246
US

V. Phone/Fax

Practice location:
  • Phone: 562-490-9900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANOOPJIT LOHARA
Title or Position: CFO
Credential:
Phone: 562-353-5907