Dr. Irene S. Tan, M.D.

Obstetrics & Gynecology in Simi Valley, CA. Individual provider (NPI-1).

NPI number1699942425

StatusActive

Last updated in NPPESJun 27, 2012

Details

NPI: 1699942425
Entity type: Individual (NPI-1)
Name: Dr. Irene S. Tan
Credential: M.D.
Sex: Female
Sole proprietor: Yes
Enumeration date: May 12, 2008
Last updated: Jun 27, 2012

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207V00000X	Obstetrics & Gynecology	pending	CA	Yes

Practice location

1147 Red Tail Way
Simi Valley, CA 93065-7232

Phone 805-527-8055 · Fax 805-520-8849

Mailing address

1147 Red Tail Way
Simi Valley, CA 93065-7232

Phone 805-527-8055 · Fax 805-520-8849

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Other Obstetrics & Gynecology Physician providers in Simi Valley, CA

All 13 Obstetrics & Gynecology Physician providers in Simi Valley · All 2,226 providers in Simi Valley

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