KINGSLEY TAN

SAN DIEGO, CA
NPI1477032621
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-08-08
Last Update Date2025-10-10
Business Address
KINGSLEY TAN PA-C
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
Mailing Address
KINGSLEY TAN PA-C
FILE 57326
LOS ANGELES, CA 90074-0001
Phone number: