Organization
PALENGEN SX, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK TAN DEE MD (PRESIDENT)
(310) 882-3884
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 1000, LOS ANGELES, CA 90017-4001
(310) 882-3884
Mailing address
1127 WILSHIRE BLVD STE 1000, LOS ANGELES, CA 90017-4001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A65423
CA
Other
Enumeration date
08/10/2017
Last updated
08/17/2017
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