RICARDO ANTONIO TAN MD INC.
Osteopathic Medicine at Cedros Ave, Van Nuys, CA

License number
California A52236
Category
Osteopathic Medicine
Type
Allergy & Immunology
Owner
Name: DR. RICARDP ANTONIO TAN M.D.
Title: OWNER
Phone: (310) 709-2693
Address
Address
5219 Cedros Ave, Van Nuys, CA 91411
National Provider ID: 1881082683
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RICARDO ANTONIO TAN, M.D., INC

5219 Cedros Ave, Van Nuys, CA 91411

Registration:
Mar 1, 1996
State ID:
C1779436
Business type:
Articles of Incorporation
President:
Ricardo Antonio Tan (President)

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