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Individual

CATHERINE TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1454 E 2ND ST, SAN BERNARDINO, CA 92408-0118
(909) 382-7146
Mailing address
1454 E 2ND ST, SAN BERNARDINO, CA 92408-0118
(909) 382-7146

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G78137
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G781370
CA
Enumeration date
08/21/2006
Last updated
04/23/2013
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