| Teresita E. Tan, M.d. Inc | |
|
244 S Oxford Ave Ste 9 Los Angeles CA 90004-5126 | |
| (213) 382-1770 | |
| (213) 382-1895 |
| Full Name | Teresita E. Tan, M.d. Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 244 S Oxford Ave Ste 9, Los Angeles, California |
| Authorized Official Name and Position | Teresita E. Tan (DOCTOR) |
| Authorized Official Contact | 2133821770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresita E. Tan, M.d. Inc 244 S Oxford Ave Ste 9 Los Angeles CA 90004-5126 Ph: (213) 382-1770 | Teresita E. Tan, M.d. Inc 244 S Oxford Ave Ste 9 Los Angeles CA 90004-5126 Ph: (213) 382-1770 |
| NPI Number | 1023282605 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Medicare PECOS PAC ID | 9234309170 |
|---|---|
| Medicare Enrollment ID | O20110831000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023282605 | NPI | - | NPPES |
| 00A403760 | Medicaid | CA | |
| 1396835633 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A40376 (California) | Primary |
| Provider Name | Teresita E Tan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396835633 PECOS PAC ID: 7618147570 Enrollment ID: I20110901000073 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
Special Service For Groups, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
Altamed Health Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |
Apla Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 | |
Hyo Rang Lee Md Phd Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4465 Wilshire Blvd, Ste 303, Los Angeles, CA 90010 Phone: 213-254-7103 Fax: 714-220-2301 | |
Croft Living Home, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 458 N Croft Ave, Los Angeles, CA 90048 Phone: 323-655-5060 Fax: 323-651-1461 |