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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679558035 | NPPES |
| California | Other | WA64475 | PPIN |
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