Individual
KEVIN JAMES TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31248 OAK CREST DR STE 120, WESTLAKE VILLAGE, CA 91361-5673
(818) 538-5880
Mailing address
4713 AMBRUZZI DR, CYPRESS, CA 90630-3530
(714) 943-5351
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21634
CA
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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