Individual
ZALDY S TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 S SAN VICENTE BLVD # A6600, LOS ANGELES, CA 90048-3311
(310) 423-6472
(310) 423-0148
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
160230
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A69001
CA
Other
Enumeration date
04/04/2006
Last updated
08/24/2022
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