Individual
CEL KRISTIAN TAN MILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3095 OLD CONEJO RD STE 200, THOUSAND OAKS, CA 91320-2130
(888) 367-1850
Mailing address
PO BOX 5276, NORTH HOLLYWOOD, CA 91616-5276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
09/04/2024
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