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Individual

DERJUNG TARN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1920 COLORADO AVE, SANTA MONICA, CA 90404-3414
(310) 319-4700
(310) 794-6097
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 794-8242
(310) 794-6097

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A72710
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A727100
CA
Enumeration date
07/26/2006
Last updated
02/17/2010
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