Individual provider · Type 1 NPI

Sanna Tam

Gerontology Nurse Practitioner · North Hills, CA

NPI number 1740915073 Active

Practice location

16111 Plummer St
North Hills, CA 91343-2036

Mailing address

415 W Valley Blvd Ste C
San Gabriel, CA 91776-3728

Other practice locations

  • 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 · (310) 478-3711

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X95021761 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1740915073

Sanna Tam's National Provider Identifier is 1740915073, issued on Jul 20, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in North Hills, CA. The record was last updated on Aug 29, 2025.