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 |
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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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› Verified 3 days ago
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