Tan, Lydia A
Tan, Lydia A is an sole proprietor health care provider with primary practice located at 756 W Garvey Avenue , Monterey Park CA 91754-2708. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Tan, Lydia A can be contacted via phone (626) 281-0403.Contact Information
Primary practice address
756 W Garvey Avenue
Monterey Park CA 91754-2708
Phone: (626) 281-0403
Fax: (626) 281-9945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6364TLG | California |
Profile Details
| NPI number | 1225098692 |
|---|---|
| LBN Legal business name | Tan, Lydia A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Apr 30th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225098692 | NPPES |
| California | MEDICAID | SD0063640 |
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