Tan, Peter Xuepeng

Tan, Peter Xuepeng is an individual health care provider with primary practice located at 612 W Duarte Rd Ste 505 , Arcadia CA 91007-7627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tan, Peter Xuepeng can be contacted via phone (626) 294-9978.

Contact Information

Primary practice address
612 W Duarte Rd Ste 505 Arcadia CA 91007-7627
Fax: (626) 294-9526
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A69134 California

Profile Details

NPI number 1144228909
LBN Legal business name Tan, Peter Xuepeng
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jan 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144228909 NPPES
California MEDICAID 00A691340

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