Jerry Tan, P.T

NPI 1205150471 · on the registry since 2010

Practice

Address: 5211 E Washington Blvd
Ste 18
Commerce, CA 90040
Phone: (323) 980-9825
Fax: (323) 980-9898
Organisation at this address: Madel P Lacson Dmd Inc
Spectrum Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California