Individual
SUSANNA YU TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 LEGACY WAY, RANCHO SANTA MARGARITA, CA 92688-5565
(626) 319-8791
Mailing address
5901 E 7TH ST DEPT OF, LONG BEACH, CA 90822-5201
(562) 826-8000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A139148
CA
Other
Enumeration date
03/28/2013
Last updated
08/23/2022
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