Terence TZ. Tan,MD,Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A47880 Issued in CA

Legal business name

TERENCE TZ. TAN,MD,INC.

Practice address

3301 Beechwood Ave
Lynwood, CA 90262-3301

Phone

(310) 638-5188

Fax

(310) 637-0278

NPI assigned

Jan 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Terence TZ Tan, M.D.NPI 1982766382

Title

President

Phone

(310) 638-5188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terence TZ Tan, M.D.

  • General Practice Physician
  • Lynwood, CA
  • NPI 1982766382
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1699822239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BEECHWOOD AVE",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623301",
            "telephone_number": "310-638-5188",
            "fax_number": "310-637-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BEECHWOOD AVE",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623301",
            "telephone_number": "310-638-5188",
            "fax_number": "310-637-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERENCE TZ. TAN,MD,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "TZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-638-5188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A47880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Taylor
• Nykia Taylor
• Tatonia R Taylor
• Tomanika Taylor
• Tchaka B Shepherd MD Inc
• Rita Thapa, NP
• Darit Thienprasit, MD
• Evangela Ann Thomas, NP
• Gaylynn Tracell Thomas, LCSW
• Shannon Lashaun Thompson

• Primary Care Clinic/Center in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.