Organization
RICARDO ANTONIO TAN MD INC.
Active
Organization
RICARDO ANTONIO TAN MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDP ANTONIO TAN M.D. (OWNER)
(310) 709-2693
Entity
Organization
Contact information
Practice address
5219 CEDROS AVE, SHERMAN OAKS, CA 91411-4016
(310) 709-2693
Mailing address
5219 CEDROS AVE, SHERMAN OAKS, CA 91411-4016
(310) 709-2693
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
A52236
CA
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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