Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyd Executive Medical Clinic

Organization Medical Specialty Clinic/Center · NPI 1942570130

Tyd Executive Medical Clinic is a Medical Specialty Clinic/Center in Glendale, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

411 N Central Ave Ste 305
Glendale, CA 91203-2020
Phone: (818) 500-0205
Fax: (818) 500-1348
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence G44887 (CA)

Record details

NPI number1942570130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tze Dang — Physician · (818) 500-0205
NPI enumeratedJanuary 5, 2012
Last updated in NPPESApril 24, 2014
Mailing address411 N Central Ave Ste 305, Glendale, CA 91203-2020

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