| Hau H. Tan, M.d., Inc | |
|
7871 University Ave Suite B La Mesa CA 91942-0471 | |
| (619) 287-8270 | |
| (619) 287-8272 |
| Full Name | Hau H. Tan, M.d., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7871 University Ave, La Mesa, California |
| Authorized Official Name and Position | Hau Hien Tan (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6192878270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hau H. Tan, M.d., Inc 7871 University Ave Suite B La Mesa CA 91942-0471 Ph: (619) 287-8270 | Hau H. Tan, M.d., Inc 7871 University Ave Suite B La Mesa CA 91942-0471 Ph: (619) 287-8270 |
| NPI Number | 1750486999 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 11/28/2022 |
| Medicare PECOS PAC ID | 9335187632 |
|---|---|
| Medicare Enrollment ID | O20050418001184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750486999 | NPI | - | NPPES |
| 00A634280 | Medicaid | CA | |
| W18642 | Other | CA | MEDICARE GROUP ID |
| 1912907726 | Other | CA | DR. TAN - NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A63428 (California) | Primary |
| Provider Name | Hau H Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912907726 PECOS PAC ID: 5597703892 Enrollment ID: I20050426000248 |
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