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

JESSICA TAN

Active

JESSICA TAN is a Medical Physician Assistant healthcare provider located in FOUNTAIN VALLEY, California. NPI 1598327967 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · FOUNTAIN VALLEY, CA

Registration Details

NPI Number
1598327967
Provider Type
Individual
Gender
Female
NPI Issued
Jul 5, 2019 (7.1302698078126 yrs)
Last Updated
Mar 2, 2022
License
60642 (CA)

Practice Information

Address
11180 WARNER AVE STE 167
FOUNTAIN VALLEY, CA, 927087515
Browse CA providers · Browse ZIP 92708
Phone
7142418552
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in FOUNTAIN VALLEY, CA

Name Credential NPI
MR. CHARLES FRANCIS WETTER PA-C 1275591356
MR. WILLIAM RICHARD CANALETTI III PA-C 1124056767
KIMBERLY ANN PINCKNEY P.A. 1134328941
KAREN SINGER PA 1477731628
KAITLYN PHUONG NGUYEN P.A.C. 1043590250
SARAH ANN GARRETT PA-C 1962805408
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.