Wilson Tan
Wilson Tan is a Psychiatry Physician in Santa Monica, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
2001 Santa Monica Blvd Ste 860Santa Monica, CA 90404-2189
Phone: (310) 301-7396
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Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence A207109 (CA) |
|---|
Record details
| NPI number | 1790427193 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 7, 2022 |
| Last updated in NPPES | July 15, 2026 |
| Certification date | July 15, 2026 |
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