Antonio A. Tan, Md, Professional Corporation
LBN: Antonio A. Tan, Md, Professional Corporation
Antonio A. Tan, Md, Professional Corporation is an health care organization with primary practice located at 12980 Frederick St Suite D, Moreno Valley CA 92553-5263. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Antonio A. Tan, Md, Professional Corporation can be contacted via phone (951) 485-2744, or through Tan, Rhoda J. via phone (951) 485-2744.
Contact Information
Primary practice address
12980 Frederick St Suite D
Moreno Valley CA 92553-5263
Phone: (951) 485-2744
Fax: (951) 485-2749
Website:
Authorized official contact:
Name: Tan, Rhoda J. Registered Health Information Administrator (RHIA)
Phone: (951) 485-2744
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | A45416 | California |
Profile Details
| NPI number | 1003870676 |
|---|---|
| LBN Legal business name | Antonio A. Tan, Md, Professional Corporation |
| DBA Doing business as | |
| Authorized official | Tan, Rhoda J. Registered Health Information Administrator (RHIA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003870676 | NPPES |
| California | MEDICAID | 00A454161 |
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