Individual
DR. MICHAEL P TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 S ATLANTIC BLVD, SUITE #128, ALHAMBRA, CA 91803-2408
(626) 308-3981
(626) 308-7422
Mailing address
1200 S ATLANTIC BLVD, SUITE #128, ALHAMBRA, CA 91803-2408
(626) 308-3981
(626) 308-7422
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
20-A-6875
CA
2084N0400X
Neurology Physician
Primary
20-A-6875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AX68750
MEDICAL
CA
Enumeration date
06/28/2006
Last updated
04/03/2024
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