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NPI Code Detail

MEDICARE: HOWARD TAN

MEDICARE: HOWARD 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
1164X00000XLicensed Vocational NurseVN267957CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1VN267957OTHERCACALIFORNIA

General Provider Information

NPI Number : 1952728768
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOWARD TAN
Provider Business Mailing Address
First Line : 5300 ANGELES VISTA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-1648
Country : US
Telephone Number : 323-295-4555
Fax Number :
Provider Business Practice Location Address
First Line : 5300 ANGELES VISTA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-1648
Country : US
Telephone Number : 323-295-4555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2014
Last Update Date : 03/19/2014

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Directions to “ HOWARD TAN ” Practice Location

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