DR. JEFFREY ANDREAS TAN (NPI# 1164549358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164549358 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ANDREAS TAN |
| Credential | PH.D. |
| Practice Address |
5000 W Sunset Blvd Fl 4 Citibank Building Los Angeles CA 90027-5861 |
| Mailing Address |
5160 Denny Ave Apt 19 North Hollywood CA 91601-4046 |
| Practice Telephone | 3236602450 |
| Mailing Telephone | 3236602450 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
RPS#2005201 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912092859 | Jeffrey Tan | Radiology | 2917 Daimler St # Us, Santa Ana, CA 92705-5810 | 2006-10-04 |
| 1033407549 | Jeffrey Jing Tan | Ophthalmology | 1245 Wilshire Blvd Ste 380, Los Angeles, CA 90017-4886 | 2011-07-18 |
| 1407059751 | Jeffrey P Tan | Family Medicine | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2007-06-06 |
| 1770794216 | Jeffrey C Tan | Family Medicine | 2845 Siena Heights Dr, Henderson, NV 89052-4153 | 2007-05-25 |
| 1770597825 | Jeffrey Tiong Guan Tan | Pediatrics | 1720 El Camino Real, Suite 205, Burlingame, CA 94010-3224 | 2006-07-27 |
| Street Address |
5000 W SUNSET BLVD FL 4 CITIBANK BUILDING |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-5861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487275004 | Mark Albert Casas | Social Worker | 5000 W Sunset Blvd Fl 4, Los Angeles, CA 90027-5861 | 2020-05-05 |
| 1528578382 | Elena Besbris | Student in an Organized Health Care Education/Training Program | 5000 W Sunset Blvd Fl 4, Los Angeles, CA 90027-5861 | 2017-10-06 |
| 1164940615 | Jordan Ilan Held | Social Worker | 5000 W Sunset Blvd Fl 4, Los Angeles, CA 90027-5861 | 2017-09-05 |
| 1093177073 | Arek Hidirsah | Pediatrics | 5000 W Sunset Blvd Fl 4, Los Angeles, CA 90027 | 2016-03-28 |
| 1679939193 | Nina De La O Moran | Social Worker | 5000 W Sunset Blvd Fl 4, Los Angeles, CA 90027-5861 | 2016-01-13 |
| 1609261528 | Erik Chen Su | Pediatrics | 5000 W Sunset Blvd Fl 4, Los Angeles, CA 90027-5861 | 2015-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631312 | Kathleen Carroll-wray | Psychologist | 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 | 2020-08-26 |
| 1568082113 | Laura Adery | Psychologist | 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 | 2020-04-23 |
| 1740776848 | Patricia Z Tan | Psychologist | 300 Medical Plaza #2200, Los Angeles, CA 90095-0001 | 2018-07-02 |
| 1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
| 1275901928 | Alycia Davis | Psychologist | 1000 Veteran Ave., Los Angeles, CA 90095-7142 | 2015-09-11 |
| 1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
| 1982002325 | Samantha Levy | Psychologist | 2305 Pelham Ave, Los Angeles, CA 90064-2211 | 2014-12-17 |
| 1407264609 | Carin Laue | Psychologist | 12777 W Jefferson Blvd, Building D, Suite 300, Los Angeles, CA 90066-7048 | 2014-07-31 |
| 1306130596 | Ryan Paul Kulea Talbert | Psychologist | 6404 1/2 Roble Ave Apt 10, Los Angeles, CA 90042-3584 | 2011-06-05 |
| 1285933184 | Lindsey Jana Sterling | Psychologist | 760 Westwood Plz # 27-370d, Los Angeles, CA 90095-8353 | 2011-03-18 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on DR. JEFFREY ANDREAS TAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.