Harry Tan DO
Psychiatry & Neurology, Psychiatry in Hawthorne, CA. Individual provider (NPI-1).
NPI number1134513609
StatusActive
Last updated in NPPESDec 11, 2019
Details
- NPI
- 1134513609
- Entity type
- Individual (NPI-1)
- Name
- Mr. Harry Tan DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2015
- Certification date
- Dec 11, 2019
- Last updated
- Dec 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 20A17175 | CA | Yes |
Practice location
2311 W El Segundo BlvdHawthorne, CA 90250-3315
Phone 323-241-6730
Mailing address
2311 W El Segundo BlvdHawthorne, CA 90250-3315
Phone 323-241-6730
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