Susanna Yu Tan, M.D.
Internal Medicine, Infectious Disease in Rancho Santa Margarita, CA. Individual provider (NPI-1).
NPI number1790028728
StatusActive
Last updated in NPPESAug 23, 2022
Details
- NPI
- 1790028728
- Entity type
- Individual (NPI-1)
- Name
- Susanna Yu Tan
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2013
- Certification date
- Aug 23, 2022
- Last updated
- Aug 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | A139148 | CA | Yes |
Practice location
1 Legacy WayRancho Santa Margarita, CA 92688-5565
Phone 626-319-8791
Mailing address
5901 E 7th St Dept OfLong Beach, CA 90822-5201
Phone 562-826-8000
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.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.