Individual
JESSE WILLIAM TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2865 ATLANTIC AVE, STE 225, LONG BEACH, CA 90806-7428
(562) 988-8818
(562) 988-8819
Mailing address
2865 ATLANTIC AVE, STE 225, LONG BEACH, CA 90806-7428
(562) 988-8818
(562) 988-8819
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A068881
CA
Other
Enumeration date
06/23/2005
Last updated
12/27/2010
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