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Individual

TERRENCE YAO TIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO, MPH

Contact information

Practice address
2625 W ALAMEDA AVE STE 400, BURBANK, CA 91505-4817
(818) 260-8733
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20A19526
CA
2084N0400X
Neurology Physician
308132
NY

Other

Enumeration date
04/12/2017
Last updated
08/08/2022
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