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Organization

ALVIN TAN OD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALVIN TAN (PRESIDENT)
(916) 205-8392
Entity
Organization

Contact information

Practice address
454 W COLORADO ST, GLENDALE, CA 91204-1504
(818) 484-7905
Mailing address
454 W COLORADO ST, GLENDALE, CA 91204-1504

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152WC0802X
Corneal and Contact Management Optometrist

Other

Enumeration date
01/20/2020
Last updated
01/20/2020
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