MEDICARE: NYEIN TINT M.D.

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	207R00000X	Internal Medicine Physician	A143086	CA

General Provider Information

NPI Number	:	1336533447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NYEIN TINT M.D.

Provider Business Mailing Address
First Line	:	840 TOWNE CENTER DR
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91767-5900
Country	:	US
Telephone Number	:	909-398-1550
Fax Number	:	909-398-1488

Provider Business Practice Location Address
First Line	:	8330 RED OAK ST STE 201
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91730-0603
Country	:	US
Telephone Number	:	909-987-2528
Fax Number	:	909-987-4668

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2015
Last Update Date	:	11/05/2018

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Directions to “ NYEIN TINT M.D.” Practice Location

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