Individual provider · Type 1 NPI

Tammy M. Van

Student in an Organized Health Care Education/Training Program · Anaheim, CA

NPI number 1205764180 Active

Practice location

5460 E La Palma Ave
Anaheim, CA 92807-2023

Mailing address

2575 Yorba Linda Blvd
Fullerton, CA 92831-1615

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205764180

Tammy M. Van's National Provider Identifier is 1205764180, issued on May 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Anaheim, CA. The record was last updated on May 13, 2026.