| Tl Health Care Foundation | |
|
1418 S San Gabriel Blvd Ste B San Gabriel CA 91776-4605 | |
| (626) 782-7021 | |
| (626) 782-7026 |
| Full Name | Tl Health Care Foundation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1418 S San Gabriel Blvd Ste B, San Gabriel, California |
| Authorized Official Name and Position | Su Lee (CEO) |
| Authorized Official Contact | 6267827021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tl Health Care Foundation 1418 S San Gabriel Blvd Ste B San Gabriel CA 91776-4605 Ph: (626) 782-7021 | Tl Health Care Foundation 1418 S San Gabriel Blvd Ste B San Gabriel CA 91776-4605 Ph: (626) 782-7021 |
| NPI Number | 1922600329 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 08/09/2024 |
| Medicare PECOS PAC ID | 0446622120 |
|---|---|
| Medicare Enrollment ID | O20230206001599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922600329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Su K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871510370 PECOS PAC ID: 8224162581 Enrollment ID: I20120223000430 |
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