Individual
OSCAR ANTHONY BUAN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
14433 EMELITA ST, VAN NUYS, CA 91401-4213
(818) 787-1511
Mailing address
14433 EMELITA ST, VAN NUYS, CA 91401-4213
(818) 787-1511
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95033212
CA
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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