Individual
DR. TERENCE TZ TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 BEECHWOOD AVE, LYNWOOD, CA 90262-3301
(310) 638-5188
(310) 637-0278
Mailing address
3301 BEECHWOOD AVE, LYNWOOD, CA 90262-3301
(310) 638-5188
(310) 637-0278
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A47880
CA
208D00000X
General Practice Physician
Primary
A47880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A478800
—
CA
Enumeration date
12/14/2006
Last updated
03/19/2020
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