Organization
ANTONIO A. TAN, MD, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHODA J. TAN RHIA (MANAGER / SECRETARY OF P.C.)
(951) 485-2744
Entity
Organization
Contact information
Practice address
12980 FREDERICK ST, SUITE D, MORENO VALLEY, CA 92553-5263
(951) 485-2744
(951) 485-2749
Mailing address
12980 FREDERICK ST, SUITE D, MORENO VALLEY, CA 92553-5263
(951) 485-2744
(951) 485-2749
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A45416
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A454161
—
CA
Enumeration date
04/12/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us