Individual
MRS. TERESITA EGIDO TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
244 S OXFORD AVE, #9, LOS ANGELES, CA 90004
(213) 382-1770
(213) 382-1895
Mailing address
244 S OXFORD AVE, #9, LOS ANGELES, CA 90004-5173
(213) 382-1770
(213) 382-1895
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A40376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A403760
—
CA
Enumeration date
10/16/2006
Last updated
12/21/2010
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