| Shirley Z Tan, MD | |
|
438 W Las Tunas Dr, San Gabriel, CA 91776-1216 | |
| (626) 570-6597 | |
| Not Available |
| Full Name | Shirley Z Tan |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 438 W Las Tunas Dr, San Gabriel, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407816325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | A45758 (California) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A45758 (California) | Primary |
| Entity Name | West Coast Bio Lab Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588373351 PECOS PAC ID: 0244603769 Enrollment ID: O20240422002274 |
| Entity Name | Lemedix Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598583759 PECOS PAC ID: 7214462183 Enrollment ID: O20241202001605 |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley Z Tan, MD Po Box 10076, Van Nuys, CA 91410-0076 Ph: (805) 578-8300 | Shirley Z Tan, MD 438 W Las Tunas Dr, San Gabriel, CA 91776-1216 Ph: (626) 570-6597 |
Xiangdong Bu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-570-6597 | |
Mona M Yong, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-570-6597 | |
Armine Baltayan, MD Pathology Medicare: Medicare Enrolled Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-914-3002 | |
Arthur H Williams, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-570-6597 | |
Sunita Vempati, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-570-6597 | |
Muh-yau Tang, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-570-6597 |