Individual
DR. IMELDA TAN TANCHOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21324 STOCKTON PASS RD, WALNUT, CA 91789-5111
(626) 233-4964
Mailing address
21324 STOCKTON PASS RD, WALNUT, CA 91789-5111
(626) 233-4964
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A106359
CA
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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