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Kenneth Tan Tan, MD
Diagnostic Radiology Physician in San Diego, California
NPI 1306008834

Kenneth Tan Tan is a Diagnostic Radiology Physician based in West Covina, CA and is specialized in Diagnostic Radiology. Kenneth Tan Tan practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Kenneth Tan Tan is 1306008834 and holds a License No. M-2019 (California).

The current practice location address for Kenneth Tan Tan is 5820 Oberlin Dr, San Diego, CA and can be reached out via phone at 877-570-8362 and via fax at 877-570-8362.

Location: 5820 Oberlin Dr, San Diego, CA, 91792-5104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306008834
Provider Name
Kenneth Tan Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5820 Oberlin Dr, San Diego, CA, 91792-5104
Phone Number
877-570-8362
Fax Number
877-570-8362
Provider Enumeration Date
06/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5820 Oberlin Dr
City
San Diego
State
California
Zip
92121-3742
Phone Number
877-570-8362
Fax Number
877-570-8362
person
Provider Business Mailing Address Details
Address
5820 Oberlin Dr
City
San Diego
State
California
Zip
92121-3742
Phone Number
877-570-8362
Fax Number
877-570-8362
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
M-2019 ()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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