MR. Benjo Ysmael Cacdac Tan is a psychiatric/mental health nurse practitioner in Fontana, CA. MR. Benjo Ysmael Cacdac Tan NPI is 1841966249. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
16823 ARROW BLVD
FONTANA, CA
ZIP 92335-803
Phone: (949) 394-7094
The NPI 1841966249 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/17/2021 and was last updated on 8/23/2021.