WILSON TAN

SANTA MONICA, CA
NPI1790427193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A207109)
Enumeration Date2022-04-07
Last Update Date2026-07-15
Business Address
WILSON TAN
2001 SANTA MONICA BLVD STE 860
SANTA MONICA, CA 90404-2189
Phone number: 310-301-7396
Mailing Address
WILSON TAN
2001 SANTA MONICA BLVD STE 860W
SANTA MONICA, CA 90404-2189
Phone number:
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