Tanchoco Children and Adolescent Clinic, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A106359 Issued in CA

Legal business name

TANCHOCO CHILDREN AND ADOLESCENT CLINIC, INC.

Practice address

1535 W Merced Ave
Ste. 306
West Covina, CA 91790-3404

Phone

(626) 960-2977

Fax

(626) 960-2979

NPI assigned

Feb 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Imelda Tan Tanchoco, M.D.

Title

President/Ceo

Phone

(626) 960-2977

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1801135702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "STE. 306",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-960-2977",
            "fax_number": "626-960-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "STE. 306",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-960-2977",
            "fax_number": "626-960-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANCHOCO CHILDREN AND ADOLESCENT CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "TANCHOCO",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-960-2977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A106359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Chingli Tan, FNP
• Diane Tan, PA-C
• Shirley Tan, DDS
• Tanaka Audiology and Hearing, Inc.
• Linda Tanaka, M.A.
• Derek Tang, RN
• Hoong-Yee Tang, M.D.
• Michael Jonathan Jonhai Tang, MD
• Van Tang
• Dumrong Tangchitnob, M.D.

• Primary Care Clinic/Center in West Covina, CA
• Providers in West Covina, 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 Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.