MAYBEL MIN TAN (NPI# 1053657684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053657684 |
| Entity Type | Individual |
| Full Name | MAYBEL MIN TAN |
| Credential | M.D |
| Practice Address |
3114 W Beverly Blvd Montebello CA 90640-2217 |
| Mailing Address |
2149 E Warner Rd Ste 102 Tempe AZ 85284-3495 |
| Practice Telephone | 3237263868 |
| Mailing Telephone | 4803930309 |
| Mailing Fax Number | 4806106189 |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A126350 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1053657684 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9808 Venice Blvd Ph, Culver City, CA 902322732 | 3107334171 | 3105590996 |
| Street Address |
3114 W BEVERLY BLVD |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114910908 | Shamik Bhadra | Specialist | 3114 W Beverly Blvd, Montebello, CA 90640 | 2005-08-26 |
| 1538780218 | Lain L Lee | Nurse Practitioner | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2020-05-04 |
| 1477931186 | Elisa Park | Internal Medicine | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2015-05-13 |
| 1811338270 | Internal Medicine Mds Corp | Internal Medicine | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2013-07-15 |
| 1497048672 | Lathika Raakesh | Internal Medicine | 3114 W Beverly Blvd, Montebello, CA 90640 | 2011-05-23 |
| 1912223850 | Kay Khine Kyaw | Specialist | 3114 W Beverly Blvd, Montebello, CA 90640 | 2010-04-16 |
| 1568659936 | Elder Mendoza | Physician Assistant | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2007-10-01 |
| 1538200860 | Soma Barua | Family Medicine | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2007-02-09 |
| 1295894871 | Shahe Pashayan | Internal Medicine | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2006-12-08 |
| 1083649651 | L.a. County Nephrology Associates A Medical Corporation | Specialist | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326460023 | Prohealth Partners A Medical Group Inc | Internal Medicine | 101 E Beverly Blvd Ste 303, Montebello, CA 90640-4316 | 2014-01-14 |
| 1215169396 | Victor M. Wassily, M.d. Inc. | Internal Medicine | 111 W Beverly Blvd Ste 217, Montebello, CA 90640-4320 | 2009-08-21 |
| 1174629166 | Golriz Jafari | Internal Medicine | 101 E Beverly Blvd Ste 304, Montebello, CA 90640-4316 | 2006-09-16 |
| 1962423590 | Victor M Wassily | Internal Medicine | 101 E Beverly Blvd Ste 202, Montebello, CA 90640-4315 | 2006-07-21 |
| 1861498107 | Wuu Shyong Wu M.d. | Internal Medicine | 101 E Beverly Blvd, Ste 201, Montebello, CA 90640-4315 | 2005-06-22 |
| 1831737162 | Martha Montealegre | Internal Medicine | 101 E Beverly Blvd, Montebello, CA 90640-4300 | 2019-12-17 |
| 1497048672 | Lathika Raakesh | Internal Medicine | 3114 W Beverly Blvd, Montebello, CA 90640 | 2011-05-23 |
| 1598082018 | Edgar P. Toscano M.d. Inc. | Internal Medicine | 3404 W Beverly Blvd, Montebello, CA 90640-1539 | 2010-04-23 |
| 1922275007 | Wuu-shyong Wu | Internal Medicine | 101 E Beverly Blvd, Suite 201, Montebello, CA 90640-4315 | 2008-05-08 |
| 1336224757 | Dennis Thomas Lange | Internal Medicine | 101 E Beverly Blvd, Suite 304, Montebello, CA 90640-4300 | 2006-10-25 |
| Find all providers in MONTEBELLO | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
Please comment or provide details below to improve the information on MAYBEL MIN TAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.