Individual
YING MING BENJAMIN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1095 MARSHALL WAY STE 202, PLACERVILLE, CA 95667-5722
(530) 626-3682
(530) 748-0325
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-3625
(530) 626-2787
(530) 626-2839
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A159195
CA
Other
Enumeration date
06/18/2017
Last updated
01/25/2024
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