Yong Tan M.D.

NPI 1083771489 - Family Medicine - 207Q00000X

NPI Details
NPI 1083771489
Gender Male
Enumeration Date 01/03/2007
Last Updated 11/08/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
751 WEST LEGION ROAD, SUITE 102
BRAWLEY CA, 92227, US
Phone (760) 351-8696
Fax (760) 545-0253
Business Location
516 WEST ATEN ROAD, SUITE 2
IMPERIAL CA, 92251, US
Phone (760) 355-7730
Fax (760) 355-7731
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A055855
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According to our database, Yong Tan M.D. NPI is 1083771489, taxonomy code is 207Q00000X and license number is A055855, license state is located at California. Yong Tan M.D. physically located at 751 West Legion Road, Suite 102, Brawley CA, 92227. NPI Number Yong Tan M.D. has the Individual type.

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1083771489 NPI number is provided on an as is basis without warranty of any kind. 1083771489 is maintained by the National Plan & Provider Enumeration System. The contents of Yong Tan M.D. are for informational purposes only.