Michael Tan (NPI# 1760419204, PAC ID# 2961309836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
Nation Provider ID (NPI) | 1760419204 |
PAC ID by PECOS | 2961309836 |
Professional Enrollment ID | I20110107000325 |
Full Name | Michael Tan |
Address |
1200 S Atlantic Blvd Suite 128 Alhambra CA 91803-5406 |
Gender | M |
Medical School | COLLEGE OF OSTEO OF THE PACIFIC |
Graduation Year | 1995 |
Primary Specialty | NEUROLOGY |
Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050281 | ALHAMBRA HOSPITAL MEDICAL CENTER |
050132 | SAN GABRIEL VALLEY MEDICAL CENTER |
050737 | GARFIELD MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1200 S Atlantic Blvd, Suite 128, Alhambra, CA 91803-5406 |
Street Address |
1200 S ATLANTIC BLVD SUITE 128 |
City | ALHAMBRA |
State | CA |
Zip | 91803-5406 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ngo C Phan | Family Medicine | 2835 W Valley Blvd, Alhambra, CA 91803-1818 | |
Matthew K Mo | Family Medicine | 2140 W Valley Blvd, Alhambra, CA 91803-1926 | |
Jackie Lau | Physical Therapy | 1819 W Valley Blvd, Suite B, Alhambra, CA 91803-2344 | |
Jacqueline Wong | Internal Medicine | Alhambra Family Medical Center | 1336 W Valley Blvd, Suite A, Alhambra, CA 91803-2480 |
Shuo S Zhou | Family Medicine | 1336 W Valley Blvd, Suite A, Alhambra, CA 91803-2480 | |
Jimmy Yue | Nephrology | 1336 W Valley Blvd, Suite A, Alhambra, CA 91803-2480 | |
Sherman Lu | Chiropractic | 701 W Valley Blvd, Suite 38, Alhambra, CA 91803-3242 | |
Nora K Tee | Family Medicine | 841 W Valley Blvd, Suite 107, Alhambra, CA 91803-3251 | |
Yen Po Liu | Podiatry | 841 W Valley Blvd, Suite 102, Alhambra, CA 91803-3251 | |
Prasert Basil Vassantachart | General Practice | 841 W Valley Blvd, Suite 104, Alhambra, CA 91803-3251 | |
Find all physicians in zip 91803 |
City | ALHAMBRA |
Zip Code | 91803 |
Specialty | NEUROLOGY |
City + Specialty | ALHAMBRA + NEUROLOGY |
Please comment or provide details below to improve the information on Michael Tan.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.