Healthcare Provider Details

I. General information

NPI: 1609054253
Provider Name (Legal Business Name): ALEX YU HONG TAN MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD CEDARS-SINAI MEDICAL CENTER
LOS ANGELES CA
90048
US

IV. Provider business mailing address

1425 N ALTA VISTA BLVD APT 213
LOS ANGELES CA
90046-4338
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-5583
  • Fax:
Mailing address:
  • Phone: 323-788-2010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number0101279710
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: