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Organization

KC TAN, M.D. MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KOK CHYE TAN M.D. (PRESIDENT)
(626) 861-3131
Entity
Organization

Contact information

Practice address
525 N GARFIELD AVE, MONTEREY PARK, CA 91754-1202
(626) 522-6030
(626) 782-7462
Mailing address
713 W DUARTE RD UNIT G-781, ARCADIA, CA 91007-7564
(626) 282-0296

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
A120081
CA
2085R0202X
Diagnostic Radiology Physician
A120081
CA
2085R0204X
Vascular & Interventional Radiology Physician
A120081
CA

Other

Enumeration date
01/25/2016
Last updated
09/10/2025
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