Provider Demographics
NPI:1699176586
Name:TEMPLE MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:TEMPLE MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TS
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-208-9950
Mailing Address - Street 1:2063 S ATLANTIC BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-6344
Mailing Address - Country:US
Mailing Address - Phone:323-655-0844
Mailing Address - Fax:
Practice Address - Street 1:2063 S ATLANTIC BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-6344
Practice Address - Country:US
Practice Address - Phone:323-655-0844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center