Individual
BRYAN PATRICK TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPSGT
Contact information
Practice address
419 GARONNE ST, OXNARD, CA 93036-5313
(626) 786-6406
Mailing address
419 GARONNE ST, OXNARD, CA 93036-5313
(626) 786-6406
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
13738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13738
BOARD OF REGISTERED POLYSOMNOGRAPHIC TECHNOLOGISTS
CA
Enumeration date
04/05/2010
Last updated
07/30/2012
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