Colleen Tan, is a
Dietitian, Registered based in Los Angeles, California. Colleen Tan is licensed to practice in * (Not Available) (license number ) and her current practice location is
400 W 30th St, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 284-3200.
NPI number for Colleen Tan is 1326588583 and her current mailing address is 400 W 30th St, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326588583.
Provider's Profile
| Full Name | Colleen Tan |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 400 W 30th St, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326588583
- Provider Enumeration Date: 03/06/2017
- Last Update Date: 06/16/2023
Medical Identifiers
Medical identifiers for Colleen Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326588583 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colleen Tan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Colleen Tan,
400 W 30th St,
Los Angeles, CA 90007-3320
Ph: (213) 284-3200 | Colleen Tan,
400 W 30th St,
Los Angeles, CA 90007-3320
Ph: (213) 284-3200 |
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