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TYD EXECUTIVE MEDICAL CLINIC
NPI 1942570130
Clinic/Center - Medical Specialty in Glendale, CA

Active since January 05, 2012
411 N CENTRAL AVE STE 305, GLENDALE, CA 91203(818) 500-0205(818) 500-1348 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyd Executive Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYD EXECUTIVE MEDICAL CLINIC (NPI 1942570130) is a healthcare organization registered as a medical specialty in Glendale, California and active in the NPI registry since January 2012. The organization lists Tze Yu Dang, Physician, as its authorized official.

NPPES Registry Identity

NPI1942570130
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameTYD EXECUTIVE MEDICAL CLINIC
Location Address411 N CENTRAL AVE STE 305Glendale, CA 91203-2020
Mailing Address411 N Central Ave Ste 305Glendale, CA 91203-2020 · (818) 500-0205 · Fax (818) 500-1348
Phone(818) 500-0205
Fax(818) 500-1348
Organization SubpartNo
Authorized OfficialTze Yu DangPhysician · (818) 500-0205
Enumeration DateJanuary 5, 2012
Last NPPES UpdateApril 24, 2014
✔ NPI 1942570130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · G44887
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

411 N CENTRAL AVE STE 305, Glendale, CA 91203
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Other Identifiers 3

Medicare UPINA89807CA
Medicaid00G44887CA
OtherG44887CA · Medicaid

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

K & K HOME HEALTH CARE, INC.
Home Health
411 N CENTRAL AVE STE 305
GLENDALE, CA 91203
Los Angeles County (818) 352-4747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyd Executive Medical Clinic's NPI number?

The NPI number for Tyd Executive Medical Clinic is 1942570130. It was assigned to this organization in the NPPES registry on January 5, 2012.

Where is Tyd Executive Medical Clinic located?

Tyd Executive Medical Clinic is located at 411 N Central Ave Ste 305, Glendale, CA 91203. The listed phone number is (818) 500-0205.

What is Tyd Executive Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Tyd Executive Medical Clinic was last updated on April 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.