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Contact Information

KWAN T TAN, MD
7872 WALKER ST
LA PALMA, CA90623-1796
 Phone: 714-527-8777
 Fax: 714-527-8990
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KWAN T TAN · (Male)

NPI Number 1013099746
Status Active
Credentials MD
Entity Individual
Enumeration date 10/20/2006
Last updated 07/07/2016 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G74232
  • CA Medicaid 00G742320
  • CA Medicaid GR0061190
  • CA Medicaid GR0061200
Hospital affiliation(s)
  • LOS ALAMITOS MEDICAL CENTER - (Acute Care)
    3751 KATELLA AVENUE
    LOS ALAMITOS, CA 90720
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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