| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 03/19/2020 |
| Medicare PECOS PAC ID | 3375626609 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982766382 PECOS PAC ID: 5395828628 Enrollment ID: I20080211000262 |
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