Individual
DR. JEFFREY ANDREAS TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5000 W SUNSET BLVD FL 4, CITIBANK BUILDING, LOS ANGELES, CA 90027-5861
(323) 660-2450
Mailing address
5160 DENNY AVE APT 19, NORTH HOLLYWOOD, CA 91601-4046
(323) 660-2450
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
RPS#2005201
CA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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