Organization · Type 2 NPI

Antonio A. Tan, Md, Professional Corporation

Clinic/Center · Moreno Valley, CA

NPI number 1003870676 Active

Practice location

12980 Frederick St, Suite D
Moreno Valley, CA 92553-5263

Call (951) 485-2744 Map

Fax (951) 485-2749

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XA45416 (CA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

11 other providers at this address

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About NPI 1003870676

Antonio A. Tan, Md, Professional Corporation's National Provider Identifier is 1003870676, issued on Apr 12, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Aug 22, 2020.