Telehealth Medical Group Inc
NPI 1770864621ActiveOrganization· Family Medicine, Geriatric Medicine· Orange, CA
Family Medicine, Geriatric Medicine in Orange, California, registered in NPPES in September 2011. The authorized official on file is Bryn Jarald Henderson, DO, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770864621 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2011 |
| Last updated in NPPES | Nov 28, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | 20A4401 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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