Tan, Yong

Tan, Yong is an individual health care provider with primary practice located at 751 West Legion Road, Suite 102 , Brawley CA 92227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tan, Yong can be contacted via phone (760) 351-8696.

Contact Information

Primary practice address
751 West Legion Road, Suite 102 Brawley CA 92227
Phone: (760) 351-8696
Fax: (760) 545-0253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A55855 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A055855 California

Profile Details

NPI number 1083771489
LBN Legal business name Tan, Yong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Nov 8th, 2012 - about 13 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 1083771489 NPPES
California Other W13536A MEDICARE GROUP
California Other W13536D MEDICARE GROUP
California Other W13536C MEDICARE GROUP
California Other W13536B MEDICARE GROUP
California Other GR0066310 MEDICARE GROUP

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