Individual
HOWARD TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 ANGELES VISTA BLVD, LOS ANGELES, CA 90043-1648
(323) 295-4555
Mailing address
5300 ANGELES VISTA BLVD, LOS ANGELES, CA 90043-1648
(323) 295-4555
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN267957
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VN267957
CALIFORNIA
CA
Enumeration date
03/19/2014
Last updated
03/19/2014
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