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Individual

JOSEPH SON TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16660 PARAMOUNT BLVD, #312, PARAMOUNT, CA 90723-5433
(562) 404-0503
(562) 529-8828
Mailing address
PO BOX 4929, CERRITOS, CA 90703-4929
(562) 404-0503
(562) 529-8828

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A40103
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A401031
CA
Enumeration date
11/10/2006
Last updated
07/08/2007
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