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JOHNTIN MEDICAL GROUP INC NPI 1336261031


NPI Information

NPI: 1336261031
Provider Name: JOHNTIN MEDICAL GROUP INC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 05D0867147

Address:
1722 DESIRE AVE STE 208
ROWLAND HEIGHTS, CA
ZIP 91748
Phone: (626) 913-1888
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JOHNTIN MEDICAL GROUP INC is a preferred provider organization in Rowland Heights, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. JOHNTIN MEDICAL GROUP INC NPI is 1336261031. The provider is registered as an organization entity type.

The provider's business location address is:

1722 DESIRE AVE STE 208
ROWLAND HEIGHTS, CA
ZIP 91748-970
Phone: (626) 913-1888

The provider's authorized official is Tin Yung .
The authorized official title is Medical Director and has the following contact phone number (626) 913-1888.

The CLIA number assigned to this NPI record is 05D0867147 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationG61730CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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