| Doctor Name: | DR. EMJAY MENG-JIAO TAN |
| NPI Number: | 1124244090 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 036115054 |
| Business Practice Address: | 1001 Sneath Ln Suite 204 San Bruno, CA - 940662308 |
| Business Phone Number: | 6506166200 |
| Business Fax Number: | 6506166203 |
| Mailing Address: | 16 Sharon Ct, DALY CITY |
| State: | CA |
| Postal Code: | 940141566 |
| Phone Number: | 5106815994 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 04/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0802X |
| License Number: | 036115054 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Psychiatry |
| Taxonomy Definition: | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |