Tan, Benjo

Tan, Benjo is an individual health care provider with primary practice located at 520 N Main St Ste 220 , Santa Ana CA 92701-4623. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Tan, Benjo can be contacted via phone (714) 543-5609.

Contact Information

Primary practice address
520 N Main St Ste 220 Santa Ana CA 92701-4623
Phone: (714) 543-5609
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95017880 California

Profile Details

NPI number 1841966249
LBN Legal business name Tan, Benjo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2021
Last updated Sep 12th, 2022 - 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 1841966249 NPPES
California Other 95017880 NURSE PRACTITIONER LICENSE

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