Individual
ALEXANDER TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-7379
Mailing address
1000 W TOWN AND COUNTRY RD UNIT 309, ORANGE, CA 92868-4759
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY32493
CA
Other
Enumeration date
04/29/2021
Last updated
10/31/2024
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