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NPI Code Detail

MEDICARE: IRENE YIHUI TAN DDS

MEDICARE: IRENE YIHUI TAN DDS
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
1122300000XDentist109138CA

General Provider Information

NPI Number : 1992588339
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE YIHUI TAN DDS
Provider Business Mailing Address
First Line : 2171 HIGHLAND OAKS DR
Second Line :
City : ARCADIA
State : CA
Zip : 91006-1526
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5546 ROSEMEAD BLVD STE 104
Second Line :
City : TEMPLE CITY
State : CA
Zip : 91780-1855
Country : US
Telephone Number : 626-285-9808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2023
Last Update Date : 07/29/2025

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Directions to “ IRENE YIHUI TAN DDS” Practice Location

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