DR. RICARDO ANTONIO TAN


Address: 1950 Sawtelle Blvd Ste 138, Los Angeles, CA 90025-7014
Phone: 3109669022

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207KA0200X Allergy & Immunology
Specialization: Allergy
A052236 CA Allopathic & Osteopathic Physicians

Other Providers RICARDO TAN

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

Office Location

Street Address 1950 SAWTELLE BLVD STE 138
City LOS ANGELES
State CA
Zip Code 90025-7014

Providers in the same location

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

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962324 Marjan-marcia Khalitchi-alavi Psychologist 12400 Wilshire Blvd #230, Los Angeles, CA 90025 2020-11-06
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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
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Taxonomy Information

Taxonomy Code 207KA0200X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology
Specialization Allergy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LOS ANGELES
Zip Code 90025

Improve Information

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Dataset Information

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.

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