Caroline Tan, | |
751 S Bascom Ave, San Jose, CA 95128-2604 | |
(973) 517-1574 | |
Not Available |
Full Name | Caroline Tan |
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Gender | Female |
Speciality | Dermatology |
Location | 751 S Bascom Ave, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750842134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A181108 (California) | Primary |
Entity Name | Golden State Dermatology Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605 |
Mailing Address | Practice Location Address |
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Caroline Tan, 751 S Bascom Ave, San Jose, CA 95128-2604 Ph: () - | Caroline Tan, 751 S Bascom Ave, San Jose, CA 95128-2604 Ph: (973) 517-1574 |
Dr. Livia Van, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 276 International Cir Fl 3, San Jose, CA 95119 Phone: 408-972-3590 | |
Dr. Kathryn Joyce Martires, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1071 Blossom Hill Rd, San Jose, CA 95123 Phone: 650-934-7676 | |
Dr. Mychael Luu, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2050 Clarmar Way, San Jose, CA 95128 Phone: 408-294-7551 Fax: 408-294-7201 | |
Eric D. Starr, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
Michele Wing-sze Mak-fung, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2420 Samaritan Dr, San Jose, CA 95124 Phone: 408-369-5600 Fax: 408-558-7949 | |
Oloruntoyin Omoyeni Falola, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-5000 | |
Kathryne Mooney, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 |