Caroline Tan, | |
2490 Hospital Dr Ste 201, Mountain View, CA 94040-4124 | |
(650) 962-4600 | |
Not Available |
Full Name | Caroline Tan |
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Gender | Female |
Speciality | Dermatology |
Location | 2490 Hospital Dr Ste 201, Mountain View, 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, 2490 Hospital Dr Ste 201, Mountain View, CA 94040-4124 Ph: (650) 962-4600 |
Naomi Amanda So, MD Dermatology Medicare: Medicare Enrolled Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676 | |
Dr. Duke Trinh Khuu, MD FAAD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 889 Castro St, Mountain View, CA 94041 Phone: 650-969-5488 Fax: 650-969-7546 | |
Ellen Deconinck, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676 | |
Faud Abuabara, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676 | |
Jane R Snyder, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676 | |
Amit G Pandya, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676 | |
Andrew B Menkes, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2490 Hospital Drive, Suite 201, Mountain View, CA 94040 Phone: 650-962-4600 Fax: 650-962-4601 |