Healthcare Provider Details

I. General information

NPI: 1063351773
Provider Name (Legal Business Name): YING TAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9650 TELSTAR AVE UNIT A
EL MONTE CA
91731-3011
US

IV. Provider business mailing address

9650 TELSTAR AVE UNIT A
EL MONTE CA
91731-3011
US

V. Phone/Fax

Practice location:
  • Phone: 949-254-4458
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: