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Individual

NELLY TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
757 WESTOOD PLZ, RRUMC 1621; MAILCODE: 743730, LOS ANGELES, CA 90095-8358
(310) 957-9021
Mailing address
757 WESTWOOD PLAZA, RONALD REGAN UCLA MEDICAL CENTER, LOS ANGELES, CA 90095
(310) 267-8758

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
60018
AZ
2085R0001X
Radiation Oncology Physician
ME148615
FL
2085R0202X
Diagnostic Radiology Physician
A114724
CA

Other

Enumeration date
07/07/2008
Last updated
10/18/2022
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