Edsel Tan is a Acupuncturist in Santa Monica, California. Edsel Tan practices all healthcare services and medical treatments related to Acupuncturist. The NPI Number for Edsel Tan is 1265612345. The last update date is 2008-10-15.
Edsel Tan's current location address is 1131 Wilshire Blvd, Santa Monica, California. You can contact this provider via phone number 3109172200 and fax number 3109172204. The mailing address for Edsel Tan is 1131 Wilshire Blvd, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edsel Tan |
|---|---|
| Address | 1131 Wilshire Blvd, Santa Monica, California |
| Phone Number | 3109172200 |
| Fax Number | 3109172204 |
| Sole Proprietor | Y |
| Credentials | LAC |
NPI Number Detail
| NPI Number | 1265612345 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2008-10-15 |
Provider Mailing Address Detail
| Address | 1131 Wilshire Blvd |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904012061 |
| Phone Number | 3109172200 |
| Fax Number | 3109172204 |
Provider's Primary Taxonomy Detail
| Speciality | Acupuncturist |
|---|---|
| Taxonomy | 171100000X |
| Licence No | AC 12003 |
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Definition: An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthes |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AC 12003 | CA | LICENSE |
Post Comment/ Review Below
What is the Edsel Tan's 1265612345?
The Edsel Tan's NPI (National Provider Identifier) Number is 1265612345. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Edsel Tan's physical address?
The Edsel Tan is physically located at 1131 Wilshire Blvd, in the city of Santa Monica, CA, with the postal code 904012061.
What is Edsel Tan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edsel Tan is Acupuncturist, and the taxonomy classification code that categorizes this area of expertise is 171100000X.
When was the Edsel Tan's 1265612345 issued?
The Edsel Tan's 1265612345 was issued on 2007-11-06.
As of what date was the information pertaining to Edsel Tan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edsel Tan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-10-15.