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Contact Information

RICARDO ANTONIO TAN MD INC.
5219 CEDROS AVE
SHERMAN OAKS, CA91411-4016
 Phone: 310-709-2693
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RICARDO ANTONIO TAN MD INC.

NPI Number 1881082683
LBN Legal business name RICARDO ANTONIO TAN MD INC.
Authorized official RICARDP TAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/31/2014
Last updated 12/31/2014 - About 11 years ago
Identifiers
CA License # A52236
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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