| Tin Tun Md Inc | |
|
1031 E Latham Ave Suite 1 Hemet CA 92543-4425 | |
| (951) 929-3987 | |
| Not Available |
| Full Name | Tin Tun Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1031 E Latham Ave, Hemet, California |
| Authorized Official Name and Position | Tin Tun (PRESIDENT) |
| Authorized Official Contact | 9519293987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tin Tun Md Inc 1031 E Latham Ave Suite 1 Hemet CA 92543-4425 Ph: (951) 929-3987 | Tin Tun Md Inc 1031 E Latham Ave Suite 1 Hemet CA 92543-4425 Ph: (951) 929-3987 |
| NPI Number | 1205964376 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 01/14/2016 |
| Medicare PECOS PAC ID | 9739374372 |
|---|---|
| Medicare Enrollment ID | O20101109001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205964376 | NPI | - | NPPES |
| 00A514760 | Medicaid | CA | |
| 110236729 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A51476 (California) | Primary |
| Provider Name | Tin Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629001698 PECOS PAC ID: 5698960227 Enrollment ID: I20101109001117 |
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