Gaw Gonzalo, Irene Tan

Gaw Gonzalo, Irene Tan is an individual health care provider with primary practice located at 301 W Huntington Dr Suite 212, Arcadia CA 91007-3462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Gaw Gonzalo, Irene Tan can be contacted via phone (626) 821-5300.

Contact Information

Primary practice address
301 W Huntington Dr Suite 212 Arcadia CA 91007-3462
Phone: (626) 821-5300
Fax: (626) 821-0993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A64475 California

Profile Details

NPI number 1679558035
LBN Legal business name Gaw Gonzalo, Irene Tan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679558035 NPPES
California Other WA64475 PPIN

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