Organization
TANCHOCO CHILDREN AND ADOLESCENT CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMELDA TAN TANCHOCO M.D. (PRESIDENT/CEO)
(626) 960-2977
Entity
Organization
Contact information
Practice address
1535 W MERCED AVE, STE. 306, WEST COVINA, CA 91790-3404
(626) 960-2977
(626) 960-2979
Mailing address
1535 W MERCED AVE, STE. 306, WEST COVINA, CA 91790-3404
(626) 960-2977
(626) 960-2979
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A106359
CA
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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