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1255353629
RICARDO ANTONIO TAN
LOS ANGELES, CA
NPI
1255353629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207KA0200X Allergy & Immunology, Allergy
(Licence: CA A052236)
Enumeration Date
2006-07-24
Last Update Date
2017-03-24
Business Address
Dr. RICARDO ANTONIO TAN MD
1950 SAWTELLE BLVD STE 138
LOS ANGELES, CA 90025-7014
Phone number: 310-966-9022
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Mailing Address
Dr. RICARDO ANTONIO TAN MD
5219 CEDROS AVE
SHERMAN OAKS, CA 91411-4016
Phone number: 310-709-2693
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