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NPI Code Detail

MEDICARE: TPIRC MEDICAL FOUNDATION INC

MEDICARE: TPIRC MEDICAL FOUNDATION INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician
2207RP1001XPulmonary Disease Physician
32080P0214XPediatric Pulmonology Physician
4261QM1300XMulti-Specialty Clinic/Center
5261QM2500XMedical Specialty Clinic/Center
6363A00000XPhysician Assistant
7363L00000XNurse Practitioner
8363LP0200XPediatric Nurse Practitioner
92080P0201XPediatric Allergy/Immunology Physician

General Provider Information

NPI Number : 1225611312
Entity Type Code : Organization
Provider Name (Legal Business Name) : TPIRC MEDICAL FOUNDATION INC
Provider Business Mailing Address
First Line : PO BOX 2246
Second Line :
City : SEAL BEACH
State : CA
Zip : 90740-1246
Country : US
Telephone Number : 562-353-5907
Fax Number :
Provider Business Practice Location Address
First Line : 701 E 28TH ST STE 419
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2775
Country : US
Telephone Number : 562-353-5907
Fax Number :
Authorized Official
Title or Position : COO
Name : ANOOP LOHARA
Credential :
Telephone Number : 805-501-6217
Provider Enumeration Date : 05/05/2021
Last Update Date : 09/12/2022

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Directions to “TPIRC MEDICAL FOUNDATION INC ” Practice Location

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