Verna O Tan, PA-C
Physician Assistant, Surgical in Livermore, CA. Individual provider (NPI-1).
NPI number1174863971
StatusActive
Last updated in NPPESNov 26, 2024
Details
- NPI
- 1174863971
- Entity type
- Individual (NPI-1)
- Name
- Verna O Tan
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2013
- Certification date
- Nov 26, 2024
- Last updated
- Nov 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA15319 | CA | Yes |
| 363A00000X | Physician Assistant | 15319 | CA |
Practice location
1074 Murrieta BlvdLivermore, CA 94550-4111
Phone 925-443-0980
Mailing address
5314 Alagro CtDublin, CA 94568-8728
Phone 925-277-1300 · Fax 925-277-1897
Other practice locations
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