Provider Demographics
NPI:1326683798
Name:TUZON, JAN (MSN, APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:JAN
Middle Name:
Last Name:TUZON
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5515 ESQUIVEL AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-1401
Mailing Address - Country:US
Mailing Address - Phone:562-884-0908
Mailing Address - Fax:
Practice Address - Street 1:5515 ESQUIVEL AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1401
Practice Address - Country:US
Practice Address - Phone:562-884-0908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA782905163WC0200X
CA95012993363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine