Terence Tz. Tan,md,inc. | |
3301 Beechwood Ave Lynwood CA 90262-3301 | |
(310) 638-5188 | |
(310) 637-0278 |
Full Name | Terence Tz. Tan,md,inc. |
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Speciality | Clinic/Center |
Location | 3301 Beechwood Ave, Lynwood, California |
Authorized Official Name and Position | Terence Tz Tan (PRESIDENT) |
Authorized Official Contact | 3106385188 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Terence Tz. Tan,md,inc. 3301 Beechwood Ave Lynwood CA 90262-3301 Ph: (310) 638-5188 | Terence Tz. Tan,md,inc. 3301 Beechwood Ave Lynwood CA 90262-3301 Ph: (310) 638-5188 |
NPI Number | 1699822239 |
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Provider Enumeration Date | 01/05/2007 |
Last Update Date | 03/19/2020 |
Medicare PECOS PAC ID | 3375626609 |
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Medicare Enrollment ID | O20080211000279 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699822239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A47880 (California) | Primary |
Provider Name | Terence Tz Tan |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1982766382 PECOS PAC ID: 5395828628 Enrollment ID: I20080211000262 |
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