ANTONIO A. TAN, MD, PROFESSIONAL CORPORATION
Organization (NPI-2)
Active
Clinic/Center
Provider Information
- NPI Number
1003870676- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 12980 FREDERICK ST SUITE D, MORENO VALLEY, CA, 925535263
- Phone
- (951) 485-2744
- Fax
- (951) 485-2749
Specialties & Taxonomies
Clinic/Center
Primary License: CA #A45416