Individual
STANLEY ANDREW TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20642 JOHN DR, CASTRO VALLEY, CA 94546-5103
(510) 785-5000
Mailing address
20642 JOHN DR, CASTRO VALLEY, CA 94546-5103
(510) 785-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G23082
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2003-00713
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
G23082
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME94328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89133MT
—
NC
05
—
PENDING
—
FL
01
—
V7918
HFMG
FL
Enumeration date
08/15/2005
Last updated
10/08/2025
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