| Maria Nelisa N Tan, MD | |
|
2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | |
| (530) 527-0414 | |
| (530) 528-4423 |
| Full Name | Maria Nelisa N Tan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2450 Sister Mary Columba Dr, Red Bluff, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457549107 | NPI | - | NPPES |
| LAB18474G | Medicaid | CA | |
| GR0089250 | Medicaid | CA | |
| RHM53955F | Medicaid | CA | |
| LAB18474F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A101565 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Nelisa N Tan, MD 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 Ph: (530) 527-0414 | Maria Nelisa N Tan, MD 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 Ph: (530) 527-0414 |
Kisung Kim, BM Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-527-3720 | |
Kimberli Frantz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 | |
Dr. Mark Jeffrey Mogul, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2550 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 813-295-1505 | |
Dr. Danielle Dionne Dixon, D.O., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 | |
Dr. Lena Renee Schultz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-528-4423 | |
Annette Ndagano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-528-4423 |