Individual
DR. MATTHEW S TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 E CESAR E CHAVEZ AVE, SUITE 300, LOS ANGELES, CA 90033-2464
(323) 264-2633
(323) 224-2790
Mailing address
1701 E CESAR E CHAVEZ AVE, SUITE 300, LOS ANGELES, CA 90033-2464
(323) 264-2633
(323) 224-2790
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G19327
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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