Individual
VICTOR TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9455 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1297
(858) 266-4200
Mailing address
5667 ALBEMARLE ST, SAN DIEGO, CA 92139-1647
(619) 772-1934
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
32645
CA
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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