Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | A32071 | CA |
NPI | 1285737692 |
---|---|
Provider Name | Ho Tsuan Tan |
First Address | San Francisco, CA 94108-1520 |
Second Address | San Francisco, CA 94108-1520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 09/06/2020 |