| Advanced Neurology Group | |
|
1200 S Atlantic Blvd Suite 128 Alhambra CA 91803-2408 | |
| (626) 308-3981 | |
| Not Available |
| Full Name | Advanced Neurology Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1200 S Atlantic Blvd, Alhambra, California |
| Authorized Official Name and Position | Michael P Tan (PRESIDENT) |
| Authorized Official Contact | 6263083981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurology Group 1200 S Atlantic Blvd Suite 128 Alhambra CA 91803-2408 Ph: (626) 308-3981 | Advanced Neurology Group 1200 S Atlantic Blvd Suite 128 Alhambra CA 91803-2408 Ph: (626) 308-3981 |
| NPI Number | 1861617078 |
|---|---|
| Provider Enumeration Date | 04/14/2007 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Medicare PECOS PAC ID | 5698672566 |
|---|---|
| Medicare Enrollment ID | O20031217001136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861617078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Michael P Tan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760419204 PECOS PAC ID: 2961309836 Enrollment ID: I20110107000325 |
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