QIUXUE TRACEY TAN

SANTA MONICA, CA
NPI1801388426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A174546)
Additional Taxonomies207R00000X Internal Medicine
(Licence: FL  26642)
Enumeration Date2018-05-30
Last Update Date2021-10-14
Business Address
QIUXUE TRACEY TAN MD
2336 SANTA MONICA BLVD STE 301
SANTA MONICA, CA 90404-2067
Phone number: 310-998-9118
Mailing Address
QIUXUE TRACEY TAN MD
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8771