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
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95021761 (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.