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

Lo Fu Tan, MD

Individual provider Family Medicine Physician · NPI 1356314835

Lo Fu Tan, MD is a Family Medicine Physician in San Ysidro, California. Licensed in California and Nevada. Registered with an NPI since 2006.

Licensed in
CA, NV
In the registry since
2006
Specialties on file
2
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

3364 Beyer Blvd Ste 102
San Ysidro, CA 92173-1322
Phone: (702) 617-1227
Fax: (702) 492-1589
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C170935 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 10849 (NV)

Record details

NPI number1356314835
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address1601 Precision Park Ln, San Diego, CA 92173-1345

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