Individual provider · Type 1 NPI
Ricardo Antonio Tan, MD
Allergy Physician · Los Angeles, CA
NPI number
1255353629
Active
Practice location
1950 Sawtelle Blvd Ste 138
Los Angeles, CA 90025-7014
Fax (310) 966-9042
Mailing address
5219 Cedros Ave
Sherman Oaks, CA 91411-4016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | A052236 (CA) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
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About NPI 1255353629
Ricardo Antonio Tan, MD's National Provider Identifier is 1255353629, issued on Jul 24, 2006. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 24, 2017.