Quan, Justin Tanaka

Quan, Justin Tanaka is an individual health care provider with primary practice located at 375 89Th St , Daly City CA 94015-1802. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Quan, Justin Tanaka can be contacted via phone (650) 301-8650.

Contact Information

Primary practice address
375 89Th St Daly City CA 94015-1802
Phone: (650) 301-8650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X California

Profile Details

NPI number 1518463215
LBN Legal business name Quan, Justin Tanaka
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2018
Last updated May 9th, 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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