Individual
MS. AI-YUI M TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 LINCOLN BLVD, MARINA DEL REY, CA 90292-6306
(310) 823-8911
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
036140463
IL
207RP1001X
Pulmonary Disease Physician
Primary
A182797
CA
Other
Enumeration date
04/23/2013
Last updated
11/18/2022
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