Individual
LAREN DAO-WEI TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST # MC-1516, LOMA LINDA, CA 92354-2804
(909) 558-4908
Mailing address
11234 ANDERSON ST, ROOM 6427, LOMA LINDA, CA 92354-2804
(909) 558-4492
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A113182
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A113182
CA
207RP1001X
Pulmonary Disease Physician
Primary
A113182
CA
Other
Enumeration date
03/27/2009
Last updated
11/19/2020
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