Individual provider · Type 1 NPI
Verna O. Tan, PA-C
Surgical Physician Assistant · Livermore, CA
NPI number
1174863971
Active
Practice location
1074 Murrieta Blvd
Livermore, CA 94550-4111
Mailing address
5314 Alagro Ct
Dublin, CA 94568-8728
Other practice locations
- 5201 Norris Canyon Rd, Suite 130, San Ramon, CA 94583-5411 · (925) 277-1300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA15319 (CA) |
| Physician Assistant | 363A00000X | 15319 (CA) |
Surgical Physician Assistant: Definition to come...
About NPI 1174863971
Verna O. Tan, PA-C's National Provider Identifier is 1174863971, issued on Feb 15, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Livermore, CA. The record was last updated on Nov 26, 2024.