Yong Tan, MD | |
751 West Legion Road, Suite 102, Brawley, CA 92227 | |
(760) 351-8696 | |
(760) 545-0253 |
Full Name | Yong Tan |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 751 West Legion Road, Suite 102, Brawley, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083771489 | NPI | - | NPPES |
W13536A | Other | CA | MEDICARE GROUP |
W13536D | Other | CA | MEDICARE GROUP # |
W13536C | Other | CA | MEDICARE GROUP # |
W13536B | Other | CA | MEDIARE GROUP # |
GR0066310 | Other | CA | MEDI-CAL GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A55855 (California) | Primary |
207Q00000X | Family Medicine | A055855 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Accentcare Home Health Of California Inc | El centro, CA | Home health agency |
Pioneers Memorial Healthcare District | Brawley, CA | Hospital |
El Centro Regional Medical Center | El centro, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Imperial Valley Family Care Medical Group A P C | 0446243083 | 24 |
Entity Name | Imperial Valley Family Care Medical Group A P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275581894 PECOS PAC ID: 0446243083 Enrollment ID: O20040407001358 |
Mailing Address | Practice Location Address |
---|---|
Yong Tan, MD 516 West Aten Road, Suite 2, Imperial, CA 92251 Ph: (760) 355-7730 | Yong Tan, MD 751 West Legion Road, Suite 102, Brawley, CA 92227 Ph: (760) 351-8696 |
Vijaykanth Mahendrakar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 751 W Legion Rd Ste 103, Brawley, CA 92227 Phone: 760-351-4400 Fax: 760-351-4407 | |
Sunny R Richley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 W Legion Rd Ste 103, Brawley, CA 92227 Phone: 760-341-4400 | |
Mr. Lorenzo H Suarez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 South 5th Street, Brawley, CA 92227 Phone: 760-344-8100 Fax: 760-344-2628 |