Individual
DR. JUSTIN HONG-JIE TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4647 ZION AVE, DEPARTMENT OF RADIOLOGY, SAN DIEGO, CA 92120-2507
(619) 528-6000
Mailing address
4647 ZION AVE, DEPARTMENT OF RADIOLOGY, SAN DIEGO, CA 92120-2507
(619) 528-6000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A113634
CA
2085R0204X
Vascular & Interventional Radiology Physician
A113634
CA
Other
Enumeration date
09/08/2010
Last updated
12/01/2021
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