Quan, Eleonor Tan

Quan, Eleonor Tan is an individual health care provider with primary practice located at 19582 Beach Blvd #212, Huntington Beach CA 92648-2996. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Quan, Eleonor Tan can be contacted via phone (714) 252-9415.

Contact Information

Primary practice address
19582 Beach Blvd #212 Huntington Beach CA 92648-2996
Phone: (714) 252-9415
Fax: (714) 963-8407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 19307 North Dakota
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A53257 California

Profile Details

NPI number 1770502254
LBN Legal business name Quan, Eleonor Tan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 28th, 2023 - about 2 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 1770502254 NPPES
California MEDICAID 00A532570

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