Individual
JIA LIN TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 GROVE ST RM 323, SAN FRANCISCO, CA 94102-4505
(510) 565-6521
Mailing address
101 GROVE ST RM 323, SAN FRANCISCO, CA 94102-4505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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