Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tak Sun Tan

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407709272

Tak Sun Tan is an Addiction (Substance Use Disorder) Counselor in Azusa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

23701 E East Fork Rd
Azusa, CA 91702-1477
Phone: (877) 507-6242
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 23095 (CA)

Record details

NPI number1407709272
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2026
Last updated in NPPESOctober 28, 2026
Certification dateOctober 28, 2026

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