Organization
PACIFIC HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL B. TAN P.T. (PRESIDENT DIRECTOR OF OPERATIONS)
(219) 554-0356
Entity
Organization
Contact information
Practice address
6829-1/2 S. GRAND AVENUE, HAMMOND, IN 46323
(219) 554-0356
Mailing address
6829-1/2 S. GRAND AVENUE, HAMMOND, IN 46323
(219) 554-0356
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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