IndividualActive
Glenn Tan, MD
NPI 1063407815 · Pediatric Anesthesiology Physician · West Hollywood, CA
Provider details
- NPI number
- 1063407815
- Entity type
- Individual
- Primary specialty
- Pediatric Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G72131 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
8700 Beverly Blvd
Suite 8211
West Hollywood, CA 90048-1804
Phone: (213) 637-3703
Fax: (213) 639-0797
Approximate (ZIP-level) locationGet directions
Mailing address
3530 Wilshire Blvd
Los Angeles, CA 90010-2328
Registry dates
- Enumerated
- 2005-09-19
- Last updated
- 2021-12-17
- Certified
- 2021-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.