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Organization
PETER X. TAN MEDICAL CORPORATION
Active
Organization
PETER X. TAN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER X. TAN M.D. (PRESIDENT)
(626) 354-9113
Entity
Organization
Contact information
Practice address
1990 SIERRA MADRE VILLA AVE, PASADENA, CA 91107-1235
(626) 354-9113
(626) 389-5055
Mailing address
1990 SIERRA MADRE VILLA AVE, PASADENA, CA 91107-1235
(626) 354-9113
(626) 389-5055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A69134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A691340
—
CA
Enumeration date
01/17/2007
Last updated
12/07/2017
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