Antonio A. Tan, Md, Professional Corporation
NPI #1003870676 in Moreno Valley, California
Provider Information
- NPI Number
- 1003870676
- Entity Type
- Organization
- Organization Name
- Antonio A. Tan, Md, Professional Corporation
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 12, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 12980 FREDERICK ST
- Address 2
- SUITE D
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-5263
- Phone
- (951) 485-2744
Authorized Official
- Name
- MRS. RHODA J. TAN, RHIA
- Title
- MANAGER / SECRETARY OF P.C.
- Phone
- (951) 485-2744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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