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Organization
KHEE H TAN M D INC
Active
Organization
KHEE H TAN M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHEE HYAN TAN M.D. (OWNER)
(626) 280-7055
Entity
Organization
Contact information
Practice address
1436 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3656
(626) 280-7055
(626) 280-4389
Mailing address
1436 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3656
(626) 280-7055
(626) 280-4389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A39236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A392360
—
CA
Enumeration date
04/04/2012
Last updated
04/25/2012
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