Organization
TERESITA E. TAN, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESITA E. TAN M.D. (DOCTOR)
(213) 382-1770
Entity
Organization
Contact information
Practice address
244 S OXFORD AVE STE 9, LOS ANGELES, CA 90004-5126
(213) 382-1770
(213) 382-1895
Mailing address
244 S OXFORD AVE STE 9, LOS ANGELES, CA 90004-5126
(213) 382-1770
(213) 382-1895
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A40376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A403760
—
CA
01
—
1396835633
INDIVIDUAL NPI
CA
Enumeration date
04/15/2008
Last updated
04/15/2008
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