Dr Rung Tan, DDS | |
13175 Paramount Blvd, South Gate, CA 90280-7955 | |
(562) 633-9137 | |
(562) 633-9185 |
Full Name | Dr Rung Tan |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 13175 Paramount Blvd, South Gate, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396962353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 33044 (California) | Primary |
Entity Name | Department Of State Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
---|---|
Dr Rung Tan, DDS 13175 Paramount Blvd, South Gate, CA 90280-7955 Ph: (562) 633-9137 | Dr Rung Tan, DDS 13175 Paramount Blvd, South Gate, CA 90280-7955 Ph: (562) 633-9137 |
Dr. Mi Young Han, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5720 Imperial Hwy, G, South Gate, CA 90280 Phone: 562-869-5554 | |
Dr. Sabina Wiederkehr, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4444 Tweedy Blvd, South Gate, CA 90280 Phone: 323-564-2444 Fax: 323-249-7565 | |
Dr. Chau N Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8420 California Ave, South Gate, CA 90280 Phone: 323-567-2137 Fax: 323-567-5514 | |
Dr. Ardeshir Hakhamian, D.D.S., M.P.H.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 10530 Atlantic Ave, South Gate, CA 90280 Phone: 323-569-5000 Fax: 323-569-4000 | |
Stephanie Galilea Banuelos Chavez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8627 Atlantic Ave, South Gate, CA 90280 Phone: 888-499-9303 | |
Dr. Jose Luis Flores, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8617 California Ave, South Gate, CA 90280 Phone: 323-564-5858 Fax: 323-564-7212 | |
Dr. Victor H. Castellanos, Dentist Medicare: Not Enrolled in Medicare Practice Location: 10025 California Ave, South Gate, CA 90280 Phone: 323-569-0858 |