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
Fax: (626) 281-9945
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225098692 NPPES
California MEDICAID SD0063640

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