Individual
MR. EARL JOHN MAKILAN TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, AGACNP-BC
Contact information
Practice address
900 S ATLANTIC BLVD, MONTEREY PARK, CA 91754-4716
(626) 570-9000
Mailing address
250 E RINCON ST STE 106, CORONA, CA 92879-1363
(951) 339-8459
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95033402
CA
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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