| Ara Denise Tan, FNP-C | |
|
23456 Hawthorne Blvd # 240, Torrance, CA 90505-4716 | |
| (888) 777-1945 | |
| (805) 413-9099 |
| Full Name | Ara Denise Tan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 23456 Hawthorne Blvd # 240, Torrance, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104574235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95020348 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Casa Real | Santa fe, NM | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Daniel Funsch Jr Md Professional Corporation | 3870028046 | 13 |
| Entity Name | Dr Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053012401 PECOS PAC ID: 3072979269 Enrollment ID: O20250625004092 |
| Entity Name | Daniel Funsch Jr, M.D., P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316784580 PECOS PAC ID: 1951801836 Enrollment ID: O20251008004260 |
| Entity Name | Ivy Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20260527003117 |
| Mailing Address | Practice Location Address |
|---|---|
| Ara Denise Tan, FNP-C 2300 Golden Ave, Long Beach, CA 90806-4121 Ph: (336) 837-8369 | Ara Denise Tan, FNP-C 23456 Hawthorne Blvd # 240, Torrance, CA 90505-4716 Ph: (888) 777-1945 |
Dina M Meza, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Head And Neck Box 6, Torrance, CA 90502 Phone: 310-222-2741 Fax: 310-222-5518 |
Kriska Aimee Tiglao, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1328 Portola Ave, Torrance, CA 90501 Phone: 310-872-6563 |
Aziz Zaouadi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4101 Torrance Blvd, Torrance, CA 90503 Phone: 323-494-7440 |
Eun Hye Yeon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1727 Crenshaw Blvd, Torrance, CA 90501 Phone: 310-373-7855 |
Anjana Johanis, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 424-306-8323 |
Miss Veronica Lyn Arres, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2780 Skypark Dr Ste 202, Torrance, CA 90505 Phone: 855-501-1004 |
Shannan Ann Stephenson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-4160 Fax: 310-320-2271 |