Antonio A. Tan, MD, Professional Corporation
Antonio A. Tan, MD, Professional Corporation is a Clinic/Center in Moreno Valley, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
12980 Frederick St Ste DMoreno Valley, CA 92553-5263
Phone: (951) 485-2744
Fax: (951) 485-2749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence A45416 (CA) |
|---|
Record details
| NPI number | 1003870676 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rhoda Tan — Manager / Secretary Of P.C. · (951) 485-2744 |
| NPI enumerated | April 12, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 12980 Frederick St, Suite D, Moreno Valley, CA 92553-5263 |
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