Individual provider · Type 1 NPI

Tetris Tan, MD

Internal Medicine Physician · Hesperia, CA

NPI number 1104506005 Active

Practice location

17089 Main St
Hesperia, CA 92345-6075

Mailing address

10554 Cannon Dr
Rancho Cucamonga, CA 91730-0366

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XA209622 (CA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1104506005

Tetris Tan, MD's National Provider Identifier is 1104506005, issued on Jul 25, 2023. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Hesperia, CA. The record was last updated on Sep 21, 2026.