JONATHAN JOSEPH TAN

ANAHEIM, CA
NPI1285010322
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  53159)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NY  081905)
Enumeration Date2015-07-30
Last Update Date2021-02-11
Business Address
Mr. JONATHAN JOSEPH TAN PA-C
751 S WEIR CANYON RD STE 165
ANAHEIM, CA 92808-1962
Phone number: 714-453-0120
Mailing Address
Mr. JONATHAN JOSEPH TAN PA-C
301 E JEANETTE LN UNIT 146
SANTA ANA, CA 92705-6027
Phone number: 516-244-6211