Teresita Egido Tan, MD
General Practice in Los Angeles, CA. Individual provider (NPI-1).
NPI number1396835633
StatusActive
Last updated in NPPESDec 21, 2010
Details
- NPI
- 1396835633
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Teresita Egido Tan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2006
- Last updated
- Dec 21, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | A40376 | CA | Yes |
Practice location
244 S Oxford Ave#9
Los Angeles, CA 90004
Phone 213-382-1770 · Fax 213-382-1895
Mailing address
244 S Oxford Ave#9
Los Angeles, CA 90004-5173
Phone 213-382-1770 · Fax 213-382-1895
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