NPI

Yong Tan

NPI 1083771489

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2007-01-03
Last updated
2012-11-08

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Specialties

Licenses

License CA
A55855
License CA
A055855

Location

Practice location
751 West Legion Road, Suite 102
City
Brawley CA
Postal code
92227
Phone
(760) 351-8696
Fax
(760) 545-0253

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Family Medicine Doctors in Brawley, CA. 8 with this primary taxonomy in the public file.

Other NPIs in Brawley, CA. 436 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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