Alvin Chung Ning Tan, O.D.
Optometrist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1457734014
StatusActive
Last updated in NPPESJan 20, 2020
Details
- NPI
- 1457734014
- Entity type
- Individual (NPI-1)
- Name
- Alvin Chung Ning Tan
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2015
- Certification date
- Jan 20, 2020
- Last updated
- Jan 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 15340 | CA | Yes |
Practice location
311 Winston StLos Angeles, CA 90013-1519
Phone 213-893-1960
Mailing address
311 Winston StLos Angeles, CA 90013-1519
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