Khek Teck Tan


Address: 8320 Lincoln Blvd, 103a, Los Angeles, CA 90045-2466
Phone: 3106452455

Khek Teck Tan (NPI# 1083753602, PAC ID# 6800990771) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1083753602
PAC ID by PECOS 6800990771
Professional Enrollment ID I20070402000736
Full Name Khek Teck Tan
Address 8320 Lincoln Blvd
103a
Los Angeles
CA 90045-2466
Phone Number 3106452455
Gender M
Credential MD
Medical School TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1994
Primary Specialty GENERAL PRACTICE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
8320 Lincoln Blvd, 103a, Los Angeles, CA 90045-2466 3106452455

Organization Information

Office Location

Street Address 8320 LINCOLN BLVD
103A
City LOS ANGELES
State CA
Zip 90045-2466

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Competitor

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City LOS ANGELES
Zip Code 90045
Specialty GENERAL PRACTICE
City + Specialty LOS ANGELES + GENERAL PRACTICE

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Dataset Information

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.

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