Search › California › 363A00000X
Jonathan Tan, PA-C
NPI 1285010322 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1040 W Imperial Hwy Ste D
La Habra, CA 90631 - Phone
- (714) 451-1072
- Fax
- (714) 451-1078
- Organisation at this address
- Orange County Urgent Care #3, Inc.
Carbon Health Medical Group Of California PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 5424 Woodruff Ave, Lakewood, CA
- 2707 E Valley Blvd, West Covina, CA
- 101 E Valencia Mesa Dr, Fullerton, CA
- 8891 Central Ave, Montclair, CA
- 858 N Rose Dr, Placentia, CA
- 20635 Yorba Linda Blvd, Yorba Linda, CA
- 751 S Weir Canyon Rd Ste 165, Anaheim, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- NY, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-25
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