De Tan is a Gastroenterology in Sacramento, California. De Tan practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for De Tan is 1851384044. The last update date is 2018-12-20.
De Tan's current location address is 2725 Capitol Ave Dept 300, Sacramento, California. You can contact this provider via phone number 9162629370 and fax number 9162629375. The mailing address for De Tan is 2725 Capitol Ave Dept 300, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | De Tan |
|---|---|
| Address | 2725 Capitol Ave Dept 300, Sacramento, California |
| Phone Number | 9162629370 |
| Fax Number | 9162629375 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1851384044 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2018-12-20 |
Provider Mailing Address Detail
| Address | 2725 Capitol Ave Dept 300 |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958166006 |
| Phone Number | 9162629370 |
| Fax Number | 9162629375 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | A90989 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A909890 | CA | -- | |
| ZZZ80876Z | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to De Tan by the Centers for Medicare & Medicaid Services?
The De Tan has been assigned the NPI (National Provider Identifier) 1851384044 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where De Tan is geographically located?
The De Tan is physically situated at the following location: 2725 Capitol Ave Dept 300, Sacramento, CA, 958166006.
What is the De Tan's area of specialization and corresponding taxonomy classification?
The De Tan's specialty field is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their specialties.
On what date did the De Tan receive the assignment of its 1851384044 from the Centers for Medicare & Medicaid Services?
The De Tan was issued its 1851384044 by the Centers for Medicare & Medicaid Services on 2005-08-24.
When was the information related to De Tan most recently updated or refreshed?
The details pertaining to the De Tan, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-12-20.