Individual
DR. GEORGE W THAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3220 S BREA CANYON RD STE F, DIAMOND BAR, CA 91765-3481
(909) 860-3273
(909) 860-7987
Mailing address
PO BOX 4156, DIAMOND BAR, CA 91765-0156
(909) 860-3273
(909) 860-7987
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
0172620
CA
111NX0100X
Occupational Health Chiropractor
Primary
17262
CA
Other
Enumeration date
08/30/2006
Last updated
03/24/2022
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