TKMD Corp

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

TKMD CORP

Practice address

8631 W 3Rd St
Suite 200E
Los Angeles, CA 90048-5901

Phone

(310) 289-1518

Fax

(310) 289-1526

NPI assigned

Nov 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Travis B Kidner, MD

Title

President

Phone

31025891518

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1669846556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 200E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-289-1518",
            "fax_number": "310-289-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 200E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-289-1518",
            "fax_number": "310-289-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKMD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "KIDNER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "31025891518",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna M. Tizenor-Tate
• Matthew Stephen Tjajadi, MD
• Talitha Chan Tjandra
• Jenny Tjauw, PHARM.D.
• Mark Tkaczuk
• Everardo Tlahuel Jr.
• Karla Ines Tlatelpa Vazquez, MD
• Araceli Stephanie Tlatoa
• TLC Medical Supplies Inc
• TLC Skilled Health Care Providers, Inc.

• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.