Jonah O. Tan, M.P.T., P.A.-C
Physician Assistant in Simi Valley, CA. Individual provider (NPI-1).
NPI number1477569010
StatusActive
Last updated in NPPESJun 24, 2026
Details
- NPI
- 1477569010
- Entity type
- Individual (NPI-1)
- Name
- Jonah O. Tan
- Credential
- M.P.T., P.A.-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2006
- Certification date
- Jun 24, 2026
- Last updated
- Jun 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA16970 | CA | Yes |
| 2251X0800X | Physical Therapist, Orthopedic | PT24912 | CA |
Practice location
3200 E Los Angeles AveSuite 20
Simi Valley, CA 93065-3972
Phone 805-581-4266 · Fax 805-581-5049
Mailing address
1687 Erringer RdSte 109
Simi Valley, CA 93065-6508
Phone 805-581-4266 · Fax 805-581-5049
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