| Tiong Yee Tan Licensed Clinical Social Worker Inc | |
|
5000 Birch Street West Tower Suite 3000 Attention: Montes Lcsw Newport Beach CA 92660-2140 | |
| (949) 229-6943 | |
| (949) 576-3913 |
| Full Name | Tiong Yee Tan Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Social Worker |
| Location | 5000 Birch Street West Tower, Newport Beach, California |
| Authorized Official Name and Position | Tiong Yee Tan (DIRECTOR) |
| Authorized Official Contact | 9492296943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiong Yee Tan Licensed Clinical Social Worker Inc 5000 Birch Street West Tower Suite 3000 Attention: Montes Lcsw Newport Beach CA 92660-2140 Ph: (949) 229-6943 | Tiong Yee Tan Licensed Clinical Social Worker Inc 5000 Birch Street West Tower Suite 3000 Attention: Montes Lcsw Newport Beach CA 92660-2140 Ph: (949) 229-6943 |
| NPI Number | 1043940505 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 10/29/2023 |
| Certification Date | 10/29/2023 |
| Medicare PECOS PAC ID | 5294102125 |
|---|---|
| Medicare Enrollment ID | O20221107002588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043940505 | NPI | - | NPPES |
| Provider Name | Tiong Yee Tan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275999690 PECOS PAC ID: 6103293030 Enrollment ID: I20221107002991 |
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