Individual
MR. BENJO TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 N MAIN ST STE 220, SANTA ANA, CA 92701-4623
(714) 543-5609
Mailing address
382 N LEMON AVE # 401, WALNUT, CA 91789-2344
(949) 394-7094
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95017880
NURSE PRACTITIONER LICENSE
CA
Enumeration date
08/17/2021
Last updated
09/12/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us