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

Menoro Tan

Individual provider Rehabilitation Practitioner · NPI 1063065720

Menoro Tan is a Rehabilitation Practitioner in Culver City, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Phone: (310) 945-3350
Fax: (310) 945-3356
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1063065720
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 22, 2019
Last updated in NPPESJuly 22, 2019

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