MR. EDSEL TAN LAC NPI 1265612345

NPI Information

NPI: 1265612345
Provider Name: MR. EDSEL TAN, LAC
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
1131 WILSHIRE BLVD
SUITE 300
SANTA MONICA, CA
ZIP 90401
Phone: (310) 917-2200
Get Directions

MR. Edsel Tan, LAC is an acupuncturist in Santa Monica, CA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. MR. Edsel Tan, LAC NPI is 1265612345. 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:

1131 WILSHIRE BLVD
SUITE 300
SANTA MONICA, CA
ZIP 90401-061
Phone: (310) 917-2200
Fax: (310) 917-2204

The enumeration date for this NPI number is 11/6/2007 and was last updated on 10/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		AC 12003	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AC 12003	OTHER	CALIFORNIA	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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