Marvin L Tan, MD | |
9400 Rosecrans Ave, Bellflower, CA 90706-2246 | |
(562) 461-3000 | |
Not Available |
Full Name | Marvin L Tan |
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Gender | Male |
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 9400 Rosecrans Ave, Bellflower, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942377817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | G74523 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Marvin L Tan, MD 9400 Rosecrans Ave, Bellflower, CA 90706-2246 Ph: (562) 461-3000 | Marvin L Tan, MD 9400 Rosecrans Ave, Bellflower, CA 90706-2246 Ph: (562) 461-3000 |
Ms. Maria V Pamaran, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10230 E Artesia Blvd, #302, Bellflower, CA 90706 Phone: 562-461-7588 Fax: 562-461-7478 | |
Lisanne M. Bzoskie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9400 Rosecrans Ave, Bellflower, CA 90706 Phone: 562-461-3000 | |
Ann K. Kershnar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9400 Rosecrans Ave, Bellflower, CA 90706 Phone: 562-461-3000 | |
Nancy Ramos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9400 Rosecrans Ave, Bellflower, CA 90706 Phone: 562-461-3000 | |
Jeffrey S. Mallin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9400 Rosecrans Ave, Bellflower, CA 90706 Phone: 562-461-3000 | |
Mi-kyung Lee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9400 Rosecrans Ave, Bellflower, CA 90706 Phone: 562-461-3000 | |
Sunmee Chung, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9400 Rosecrans Ave, Bellflower, CA 90706 Phone: 562-461-3000 |