Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ricardo Antonio Tan, MD

Individual provider Allergy Physician · NPI 1255353629

Dr. Ricardo Antonio Tan, MD is an Allergy/Immunology in Los Angeles, California. Qualified in 1986, 40 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
40
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1950 Sawtelle Blvd Ste 138
Los Angeles, CA 90025-7014
Phone: (310) 966-9022
Fax: (310) 966-9042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy Physician (primary) Taxonomy 207KA0200X · Licence A052236 (CA)

Record details

NPI number1255353629
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESMarch 24, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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