Individual
ANDREW TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1266 14TH ST, OAKLAND, CA 94607
(510) 853-3100
Mailing address
1185 S VAN NESS AVE, APT A, SAN FRANCISCO, CA 94110-3214
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2015
Last updated
08/02/2018
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