DIANE TAN

WEST COVINA, CA
NPI1699144618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  52826)
Enumeration Date2015-09-21
Last Update Date2016-01-11
Business Address
Ms. DIANE TAN PA-C
1115 S SUNSET AVE
WEST COVINA, CA 91790-3940
Phone number: 626-962-4011
Mailing Address
Ms. DIANE TAN PA-C
11625 CANTLAY ST
NORTH HOLLYWOOD, CA 91605-3941
Phone number: