Individual provider · Type 1 NPI

Benjo Tan

Psychiatric/Mental Health Nurse Practitioner · Santa Ana, CA

NPI number 1841966249 Active

Practice location

520 N Main St Ste 220
Santa Ana, CA 92701-4623

Mailing address

382 N Lemon Ave # 401
Walnut, CA 91789-2344

Other practice locations

  • 20705 Kelfield Dr, Diamond Bar, CA 91789 · (949) 394-7094
  • 4000 Birch St Ste 112, Newport Beach, CA 92660-2255 · (949) 216-3851
  • 16823 Arrow Blvd, Fontana, CA 92335-3803 · (949) 394-7094
  • 4000 Birch St Ste 112, Newport Beach, CA 92660-2255 · (949) 629-3730

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95017880 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1841966249

Benjo Tan's National Provider Identifier is 1841966249, issued on Aug 17, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Santa Ana, CA. The record was last updated on Sep 12, 2022.