Individual
CHYANSONG J TZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 S GRAND AVE, GLENDORA, CA 91741-4218
(626) 963-8411
Mailing address
PO BOX 788, HEMET, CA 92546-0788
(951) 929-6260
(951) 765-2855
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C52948
CA
207L00000X
Anesthesiology Physician
L0669
TX
Other
Enumeration date
10/12/2005
Last updated
09/20/2016
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