Provider Demographics
NPI:1346040276
Name:BUDDHIST TZU CHI MEDICAL FOUNDATION
Entity type:Organization
Organization Name:BUDDHIST TZU CHI MEDICAL FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:DENQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-427-9598
Mailing Address - Street 1:9620 FLAIR DR
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-3005
Mailing Address - Country:US
Mailing Address - Phone:626-427-9598
Mailing Address - Fax:626-788-2321
Practice Address - Street 1:10414 VACCO ST
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3350
Practice Address - Country:US
Practice Address - Phone:626-281-3383
Practice Address - Fax:855-710-5853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)