| Tdj Md Group Inc | |
|
12826 Victory Blvd Ste E N Hollywood CA 91606-3065 | |
| (818) 583-0050 | |
| Not Available |
| Full Name | Tdj Md Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12826 Victory Blvd Ste E, N Hollywood, California |
| Authorized Official Name and Position | Thomas Dosumu-johnson (CEO) |
| Authorized Official Contact | 5627339789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdj Md Group Inc 12826 Victory Blvd Ste E N Hollywood CA 91606-3065 Ph: (818) 583-0050 | Tdj Md Group Inc 12826 Victory Blvd Ste E N Hollywood CA 91606-3065 Ph: (818) 583-0050 |
| NPI Number | 1245740331 |
|---|---|
| Provider Enumeration Date | 10/03/2017 |
| Last Update Date | 10/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245740331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A34329 (California) | Primary |
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