| Caroline Tan, | |
| 2490 Hospital Dr Ste 201, Mountain View, CA 94040-4124 | |
| (650) 962-4600 | |
| Not Available | 
| Full Name | Caroline Tan | 
|---|---|
| Gender | Female | 
| Speciality | Dermatology | 
| Location | 2490 Hospital Dr Ste 201, Mountain View, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750842134 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | A181108 (California) | Primary | 
| Entity Name | Golden State Dermatology Associates, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Caroline Tan, 751 S Bascom Ave, San Jose, CA 95128-2604 Ph: () - | Caroline Tan, 2490 Hospital Dr Ste 201, Mountain View, CA 94040-4124 Ph: (650) 962-4600 | 
| Naomi Amanda So, MD Dermatology Medicare: Medicare Enrolled Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676 | |
| Dr. Duke Trinh Khuu, MD FAAD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 889 Castro St, Mountain View, CA 94041 Phone: 650-969-5488 Fax: 650-969-7546 | |
| Ellen Deconinck, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676 | |
| Dr. Katherine Macauley Ligtenberg Given, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676 | |
| Faud Abuabara, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676 | |
| Jane R Snyder, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676 | |
| Amit G Pandya, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676 |