Mac, Ricky Phong Tan

Mac, Ricky Phong Tan is an individual health care provider with primary practice located at 1868 Pacific Ave , Long Beach CA 90806-6113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Mac, Ricky Phong Tan can be contacted via phone (562) 595-4718.

Contact Information

Primary practice address
1868 Pacific Ave Long Beach CA 90806-6113
Phone: (562) 595-4718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A68178 California

Profile Details

NPI number 1578581666
LBN Legal business name Mac, Ricky Phong Tan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 22nd, 2012 - about 12 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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