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MRS. TERESITA EGIDO TAN MD NPI 1396835633


NPI Information

NPI: 1396835633
Provider Name: MRS. TERESITA EGIDO TAN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 05D0704666

Address:
244 S OXFORD AVE
#9
LOS ANGELES, CA
ZIP 90004
Phone: (213) 382-1770
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MRS. Teresita Egido Tan, MD is a general practice in Los Angeles, CA with 50 years of experience. MRS. Teresita Egido Tan, MD NPI is 1396835633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

244 S OXFORD AVE
#9
LOS ANGELES, CA
ZIP 90004
Phone: (213) 382-1770
Fax: (213) 382-1895

The NPI 1396835633 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 CLIA number assigned to this NPI record is 05D0704666 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 10/16/2006 and was last updated on 12/21/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA40376CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A85447MEDICARE UPINCALIFORNIA
200A403760MEDICAIDCALIFORNIA
3A40376MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.