Organization · NPI-2

Kc Tan, M.D. Medical Corporation

· Monterey Park, CA

NPI number1215394036
StatusActive
Last updated in NPPESSep 10, 2025

Details

NPI
1215394036
Entity type
Organization (NPI-2)
Legal business name
Kc Tan, M.D. Medical Corporation
Organization subpart
No
Enumeration date
Jan 25, 2016
Certification date
Sep 10, 2025
Last updated
Sep 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085N0700X A120081CAYes
2085R0202X Radiology, Diagnostic RadiologyA120081CA
2085R0204X Radiology, Vascular & Interventional RadiologyA120081CA

Practice location

525 N Garfield Ave
Monterey Park, CA 91754-1202

Phone 626-522-6030 · Fax 626-782-7462

Mailing address

713 W Duarte Rd Unit G-781
Arcadia, CA 91007-7564

Phone 626-282-0296

Other practice locations

223 N Garfield Ave Ste 201
Monterey Park, CA 91754-1700

Phone 626-228-3210 · Fax 626-495-0210

Authorized official

Kok Chye Tan
President
6268613131

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other providers in Monterey Park, CA