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Individual

JASON C TANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
160 E ARTESIA ST STE 360, POMONA, CA 91767-2927
(760) 552-8585
(760) 243-7276
Mailing address
17100B BEAR VALLEY RD # 283, VICTORVILLE, CA 92395-5851
(760) 552-8585
(760) 243-7276

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
24700
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
G160274
CA

Other

Enumeration date
10/05/2005
Last updated
09/10/2023
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