Tan, Jessica
Tan, Jessica is an individual health care provider with primary practice located at 11180 Warner Ave Ste 167 , Fountain Valley CA 92708-7515. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Tan, Jessica can be contacted via phone (714) 241-8552.Contact Information
Primary practice address
11180 Warner Ave Ste 167
Fountain Valley CA 92708-7515
Phone: (714) 241-8552
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 60642 | California |
Profile Details
NPI number | 1598327967 |
---|---|
LBN Legal business name | Tan, Jessica |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2019 |
Last updated | Mar 2nd, 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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