Tyd Executive Medical Clinic

LBN: Tyd Executive Medical Clinic
Tyd Executive Medical Clinic is an health care organization with primary practice located at 411 N Central Ave Ste 305 , Glendale CA 91203-2020. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Tyd Executive Medical Clinic can be contacted via phone (818) 500-0205, or through Dang, Tze Yu via phone (818) 500-0205.

Contact Information

Primary practice address
411 N Central Ave Ste 305 Glendale CA 91203-2020
Phone: (818) 500-0205
Fax: (818) 500-1348
Website:
Map and Directions
Authorized official contact:
Name: Dang, Tze Yu Doctor of Medicine (MD)
Phone: (818) 500-0205

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X G44887 California

Profile Details

NPI number 1942570130
LBN Legal business name Tyd Executive Medical Clinic
DBA Doing business as
Authorized official Dang, Tze Yu Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2012
Last updated Apr 24th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942570130 NPPES
California Other G44887 MEDICAID
California MEDICAID 00G44887 MEDICAID

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