MEDICARE: TN BUSINESS MANAGEMENT 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
1	225100000X	Physical Therapist	17471	CA

General Provider Information

NPI Number	:	1235493354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TN BUSINESS MANAGEMENT INC

Provider Business Mailing Address
First Line	:	12832 GARDEN GROVE BLVD STE B
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-2014
Country	:	US
Telephone Number	:	714-467-0293
Fax Number	:	714-467-0298

Provider Business Practice Location Address
First Line	:	12832 GARDEN GROVE BLVD STE B
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-2014
Country	:	US
Telephone Number	:	714-467-0293
Fax Number	:	714-467-0298

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	THAO THANH TRAN
Credential	:
Telephone Number	:	714-467-0293

Provider Enumeration Date	:	07/03/2012
Last Update Date	:	07/03/2012

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