MEDICARE: CHENG-YANG CHRISTIAN TUAN MD

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	A67915	CA

General Provider Information

NPI Number	:	1891746129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHENG-YANG CHRISTIAN TUAN MD

Provider Business Mailing Address
First Line	:	1580 VALENCIA ST
Second Line	:	STE 102
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4423
Country	:	US
Telephone Number	:	415-695-7661
Fax Number	:	415-695-7665

Provider Business Practice Location Address
First Line	:	1580 VALENCIA ST
Second Line	:	STE 102
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4423
Country	:	US
Telephone Number	:	415-695-7661
Fax Number	:	415-695-7665

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	07/08/2007

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