TL Health Care Foundation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TL HEALTH CARE FOUNDATION

Practice address

1418 S San Gabriel Blvd Ste B
San Gabriel, CA 91776-4605

Phone

(626) 782-7021

Fax

(626) 782-7026

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Su Lee, MDNPI 1871510370

Title

Ceo

Phone

(626) 782-7021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Federally qualified health center certification: CCN A01969

Legal name

TL HEALTH CARE FOUNDATION

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 29, 2025

Last certification

Jul 29, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

1418 S San Gabriel Blvd
Ste B
San Gabriel, CA 91776-4605

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Su Kin Lee, M.D.

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1871510370

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Su Kin Lee, M.D.

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1871510370
  Medicare reassignment Care Compare group NPD Authorized official
• Anne Luu

  • Family Nurse Practitioner
  • San Gabriel, CA
  • NPI 1437634045
  Medicare reassignment Care Compare group NPD
• Shanqiang Zhang

  • Medical Physician Assistant
  • Alhambra, CA
  • NPI 1619166626
  Medicare reassignment Care Compare group
• Jing Jing Zhang, AGACNP

  • Acute Care Nurse Practitioner
  • Whittier, CA
  • NPI 1689195554
  Medicare reassignment NPD
• Shubing Yu

  • Medical Physician Assistant
  • West Covina, CA
  • NPI 1790249514
  Care Compare group

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1922600329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 S SAN GABRIEL BLVD STE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917764605",
            "telephone_number": "626-782-7021",
            "fax_number": "626-782-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S SAN GABRIEL BLVD STE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917764605",
            "telephone_number": "626-782-7021",
            "fax_number": "626-782-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TL HEALTH CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-782-7021",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.