Kingsley Tan, PA-C | |
4829 Fortin St, Baldwin Park, CA 91706-1957 | |
(626) 290-7539 | |
Not Available |
Full Name | Kingsley Tan |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 4829 Fortin St, Baldwin Park, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477032621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kingsley Tan, PA-C 4829 Fortin St, Baldwin Park, CA 91706-1957 Ph: (626) 290-7539 | Kingsley Tan, PA-C 4829 Fortin St, Baldwin Park, CA 91706-1957 Ph: (626) 290-7539 |
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