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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSE WILLIAM TAN, MD

Active Sole Proprietor

JESSE WILLIAM TAN, MD is a Otolaryngology healthcare provider located in LONG BEACH, California. NPI 1285630202 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · LONG BEACH, CA

Registration Details

NPI Number
1285630202
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2005 (21.17799709063 yrs)
Last Updated
Dec 27, 2010
License
A068881 (CA)
Sole Proprietor
Yes

Practice Information

Address
2865 ATLANTIC AVE
STE 225
LONG BEACH, CA, 908067428
Browse CA providers · Browse ZIP 90806
Phone
5629888818
Fax
5629888819
Primary Specialty
Otolaryngology
207Y00000X

Other Otolaryngology Providers in LONG BEACH, CA

Name Credential NPI
JESUS KING TAN MD 1730185687
JAY H. GOLAND MD 1760489371
HASSNEY ALAN HAMOOD MD 1669575056
DR. JOHN WIX THOMAS III MD ENT 1578667069
DR. GREGORY SZAL M.D. 1700982071
AYAL WILLNER MD 1548334295
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.