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NPI Code Detail

MEDICARE: HUEY PEING TAN

MEDICARE: HUEY PEING TAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner
2103T00000XPsychologistCA

General Provider Information

NPI Number : 1265834790
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUEY PEING TAN
Provider Business Mailing Address
First Line : 9340 E STOCKTON BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-1563
Country : US
Telephone Number : 209-325-6013
Fax Number :
Provider Business Practice Location Address
First Line : 9340 E STOCKTON BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-1563
Country : US
Telephone Number : 209-325-6013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2014
Last Update Date : 03/31/2026

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Directions to “ HUEY PEING TAN ” Practice Location

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