Peter X. Tan Medical Corporation

LBN: Peter X. Tan Medical Corporation
Peter X. Tan Medical Corporation is an health care organization with primary practice located at 1990 Sierra Madre Villa Ave , Pasadena CA 91107-1235. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Peter X. Tan Medical Corporation can be contacted via phone (626) 354-9113, or through Tan, Peter X. via phone (626) 354-9113.

Contact Information

Primary practice address
1990 Sierra Madre Villa Ave Pasadena CA 91107-1235
Phone: (626) 354-9113
Fax: (626) 389-5055
Website:
Map and Directions
Authorized official contact:
Name: Tan, Peter X. Doctor of Medicine (MD)
Phone: (626) 354-9113

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A69134 California

Profile Details

NPI number 1649322975
LBN Legal business name Peter X. Tan Medical Corporation
DBA Doing business as
Authorized official Tan, Peter X. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Dec 7th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649322975 NPPES
California MEDICAID 00A691340

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