Individual
DR. DANILO T TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5030 CAMINO DE LA SIESTA, SUITE 208, SAN DIEGO, CA 92108-3116
(858) 373-2444
(619) 260-6307
Mailing address
5030 CAMINO DE LA SIESTA, SUITE 208, SAN DIEGO, CA 92108-3116
(858) 373-2444
(619) 260-6307
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A74484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R059973A
MEDICARE PORTABLE X-RAY
CA
Enumeration date
02/21/2007
Last updated
09/25/2007
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