| Ted Medical Group, Inc. | |
|
12865 Main St Ste 105 Garden Grove CA 92840-8205 | |
| (800) 560-9999 | |
| Not Available |
| Full Name | Ted Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12865 Main St Ste 105, Garden Grove, California |
| Authorized Official Name and Position | Emily Nguyen (ADMINISTRATOR) |
| Authorized Official Contact | 8005609999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ted Medical Group, Inc. 12865 Main St Ste 105 Garden Grove CA 92840-8205 Ph: (800) 560-9999 | Ted Medical Group, Inc. 12865 Main St Ste 105 Garden Grove CA 92840-8205 Ph: (800) 560-9999 |
| NPI Number | 1497396451 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 10/01/2019 |
| Medicare PECOS PAC ID | 3870927908 |
|---|---|
| Medicare Enrollment ID | O20191226001520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497396451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dat Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720092315 PECOS PAC ID: 0143254920 Enrollment ID: I20050921000526 |
| Provider Name | Tan The Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609839299 PECOS PAC ID: 7810995362 Enrollment ID: I20081212000602 |
| Provider Name | Tricia L Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306122288 PECOS PAC ID: 1052576964 Enrollment ID: I20120627000297 |
| Provider Name | Ngoc Kim Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891216370 PECOS PAC ID: 7113292459 Enrollment ID: I20171012000851 |
| Provider Name | Long Bao Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093203838 PECOS PAC ID: 0345505442 Enrollment ID: I20180518002293 |
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