Individual
TIMOTHY LANG TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 W SUNNYSIDE AVE, VISALIA, CA 93277-7287
(559) 731-2009
(866) 833-7251
Mailing address
1946 CLOVER CT, PLEASANTON, CA 94588-8215
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A167215
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
A167215
CA
Other
Enumeration date
04/08/2015
Last updated
08/16/2021
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