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

Tetris Ylizah Tan, MD

Individual provider Internal Medicine Physician · NPI 1104506005

Tetris Ylizah Tan, MD is an Internal Medicine Physician in Hesperia, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

17089 Main St
Hesperia, CA 92345-6075
Phone: (760) 956-4123
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A209622 (CA)

Record details

NPI number1104506005
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Other providers in Hesperia