| Doctor Name: | VIVIAN R. TAN |
| NPI Number: | 1093807679 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A70063 |
| Business Practice Address: | 1011 Baldwin Park Blvd Baldwin Park, CA - 917065806 |
| Business Phone Number: | 6268515510 |
| Business Fax Number: | 6268515475 |
| Mailing Address: | 1011 Baldwin Park Blvd, BALDWIN PARK |
| State: | CA |
| Postal Code: | 917065806 |
| Phone Number: | 6268515510 |
| Fax Number: | 6268515475 |
| NPI Enumeration Date: | 09/29/2006 |
| NPI Last Update Date: | 10/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0001X |
| License Number: | A70063 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Clinical Cardiac Electrophysiology |
| Taxonomy Definition: | A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |