ZALDY S TAN (NPI# 1174585376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174585376 |
| Entity Type | Individual |
| Full Name | ZALDY S TAN |
| Credential | M.D. |
| Practice Address |
127 S San Vicente Blvd # A6600 Los Angeles CA 90048-3311 |
| Mailing Address |
4140 W 190th St Torrance CA 90504-5513 |
| Practice Telephone | 3104236472 |
| Practice Fax Number | 3104230148 |
| Mailing Telephone | 3109671780 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
A69001 | CA | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
160230 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1625 Tremont St Fl 3, Brigham and Women's Hospital Division of Aging, Roxbury Crossing, MA 021201616 | 8573645012 |
| Street Address |
127 S SAN VICENTE BLVD # A6600 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659990224 | Robin Babadouni | Neurological Surgery | 127 S San Vicente Blvd # A6600, Los Angeles, CA 90048-3311 | 2020-04-13 |
| 1922564590 | Sashana Macatangay | Nurse Practitioner | 127 S San Vicente Blvd # A6600, Los Angeles, CA 90048-3311 | 2019-02-19 |
| 1548738065 | Tara A Jones | Genetic Counselor, MS | 127 S San Vicente Blvd # A6600, Los Angeles, CA 90048-3311 | 2018-11-02 |
| 1043696917 | Rachelle Bliss Cruz | Nurse Practitioner | 127 S San Vicente Blvd # A6600, Los Angeles, CA 90048-3311 | 2015-08-03 |
| 1699158147 | Julie Lynn Chan | Neurological Surgery | 127 S San Vicente Blvd # A6600, Los Angeles, CA 90048-3311 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972081412 | Ahra Cho, M.d., Inc | Internal Medicine | 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 | 2018-08-06 |
| 1063714749 | Daniel L. Gornel | Internal Medicine | 1136 Hi Point St, Los Angeles, CA 90035-2610 | 2010-12-01 |
| 1295932937 | Angela Moore-hodge | Internal Medicine | 2975 Wilshire Blvd Ste 401, 4116 Camino Real Los Angeles, Ca. 90065, Los Angeles, CA 90010-1112 | 2007-06-27 |
| 1659445823 | Francisco Quijas | Internal Medicine | 1700 Cesar Chavez Ave, Senior Care Clinic, Los Angeles, CA 90033-2414 | 2006-11-20 |
| 1285741579 | Vinod I Patel | Internal Medicine | 12021 S. Wilmingtom Ave, Los Angeles, CA 90059 | 2006-08-24 |
| 1265467864 | David Avram Ganz | Internal Medicine | 11301 Wilshire Blvd (11g), Los Angeles, CA 90073-1003 | 2006-07-11 |
| 1831129063 | La Town Medical Group, Inc. | Internal Medicine | 3663 W 6th St, Suite 206, Los Angeles, CA 90020-3049 | 2006-07-04 |
| 1891764304 | Sakaye Shigekawa M.d. | Internal Medicine | 1511 N Benton Way, Los Angeles, CA 90026-2218 | 2006-03-16 |
| 1134109200 | Dong Hyun Lee | Internal Medicine | 2727 W Olympic Blvd Ste 309, Los Angeles, CA 90006-2699 | 2006-01-17 |
| 1538723382 | Dong Hyun Lee, Md, Inc. | Internal Medicine | 2727 W Olympic Blvd Ste 309, Los Angeles, CA 90006-2699 | 2019-04-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on ZALDY S 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.