Tan, Via Geronga

Tan, Via Geronga is an individual health care provider with primary practice located at 15107 Vanowen St , Van Nuys CA 91405-4542. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Tan, Via Geronga can be contacted via phone (818) 782-6600.

Contact Information

Primary practice address
15107 Vanowen St Van Nuys CA 91405-4542
Phone: (818) 782-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 685385 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95001439 California

Profile Details

NPI number 1659962454
LBN Legal business name Tan, Via Geronga
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2021
Last updated Apr 21st, 2022 - about 4 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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