DR. RICARDO ANTONIO TAN (NPI# 1255353629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255353629 |
Entity Type | Individual |
Full Name | DR. RICARDO ANTONIO TAN |
Credential | MD |
Practice Address |
1950 Sawtelle Blvd Ste 138 Los Angeles CA 90025-7014 |
Mailing Address |
5219 Cedros Ave Sherman Oaks CA 91411-4016 |
Practice Telephone | 3109669022 |
Practice Fax Number | 3109669042 |
Mailing Telephone | 3107092693 |
Mailing Fax Number | 6612663766 |
Enumeration Date | 2006-07-24 |
Last Update Date | 2017-03-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
A052236 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154479491 | Ricardo B Tan | Family Medicine | 5152 Rufe Snow Dr, Suite 314, North Richland Hills, TX 76180-6658 | 2007-01-05 |
Street Address |
1950 SAWTELLE BLVD STE 138 |
City | LOS ANGELES |
State | CA |
Zip Code | 90025-7014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366917361 | David Taftian Do, Inc | Physical Medicine & Rehabilitation | 1950 Sawtelle Blvd Ste 138, Los Angeles, CA 90025-7014 | 2018-10-05 |
1376823153 | David Taftian | Physical Medicine & Rehabilitation | 1950 Sawtelle Blvd Ste 138, Los Angeles, CA 90025-7014 | 2011-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
Find all providers in zip 90025 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962703595 | Warren Richards | Allergy & Immunology | 10110 Empyrean Way, Unit 103, Los Angeles, CA 90067-3829 | 2010-11-12 |
1619133600 | Jonathan Tam | Allergy & Immunology | 4650 W Sunset Blvd, Ms#75, Los Angeles, CA 90027-6062 | 2008-07-30 |
1578742318 | Lawrence S Mihalas | Allergy & Immunology | 11645 Wilshire Blvd, 988, Los Angeles, CA 90025-1708 | 2007-10-29 |
1568689594 | Maxine Baum | Allergy & Immunology | 8631 W 3rd St, 925e, Los Angeles, CA 90048-5901 | 2007-04-19 |
1952423659 | Douglas Barrett Tamkin | Allergy & Immunology | 6200 Wilshire Blvd, Suite 1206, Los Angeles, CA 90048 | 2007-04-04 |
1720108525 | Allen H Green | Allergy & Immunology | 11860 Wilshire Blvd, #200, Los Angeles, CA 90025-6613 | 2007-03-29 |
1043379662 | Renata G. Lubens | Allergy & Immunology | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2006-12-08 |
1750440343 | Joseph G. Dizon | Allergy & Immunology | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2006-12-08 |
1699834200 | Bruce J. Goldberg | Allergy & Immunology | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-12-08 |
1184791063 | Michael S. Kaplan | Allergy & Immunology | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-29 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90025 |
Please comment or provide details below to improve the information on DR. RICARDO ANTONIO 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.