=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316173560
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOTALSOLUTION PAIN & REHABILITATION CENTER, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2009
-----------------------------------------------------
Last Update Date | 06/12/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1661 HANOVER RD SUITE #227
-----------------------------------------------------
City | CITY OF INDUSTRY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91748-1796
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-384-3268
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1661 HANOVER RD SUITE 227
-----------------------------------------------------
City | CITY OF INDUSTRY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91748-1796
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-384-3268
-----------------------------------------------------
Fax | 626-602-1703
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. HSIU-HSIEN LING
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 626-384-3268
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2081P2900X
-----------------------------------------------------
Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
-----------------------------------------------------
License Number | A71882
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------