| Khee H Tan M D Inc | |
|
1436 S San Gabriel Blvd San Gabriel CA 91776-3656 | |
| (626) 280-7055 | |
| (626) 280-4389 |
| Full Name | Khee H Tan M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1436 S San Gabriel Blvd, San Gabriel, California |
| Authorized Official Name and Position | Khee Hyan Tan (OWNER) |
| Authorized Official Contact | 6262807055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khee H Tan M D Inc 1436 S San Gabriel Blvd San Gabriel CA 91776-3656 Ph: (626) 280-7055 | Khee H Tan M D Inc 1436 S San Gabriel Blvd San Gabriel CA 91776-3656 Ph: (626) 280-7055 |
| NPI Number | 1639435589 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 04/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639435589 | NPI | - | NPPES |
| 00A392360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A39236 (California) | Primary |
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