Jackson, Kathlyn Tan

Jackson, Kathlyn Tan is an sole proprietor health care provider with primary practice located at 11770 Warner Ave Ste 123 , Fountain Valley CA 92708-2660. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Jackson, Kathlyn Tan can be contacted via phone (714) 277-7169.

Contact Information

Primary practice address
11770 Warner Ave Ste 123 Fountain Valley CA 92708-2660
Phone: (714) 277-7169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 39797 California

Profile Details

NPI number 1205421526
LBN Legal business name Jackson, Kathlyn Tan
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2021
Last updated Mar 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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