Individual provider · Type 1 NPI

Jan Rayndell Amparo Tan, NP

Family Nurse Practitioner · Carson, CA

NPI number 1730053430 Active

Practice location

22111 Main St Unit 3
Carson, CA 90745-3057

Call (310) 279-9834 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95028250 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1730053430

Jan Rayndell Amparo Tan, NP's National Provider Identifier is 1730053430, issued on Oct 3, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carson, CA. The record was last updated on Oct 3, 2025.