Provider Demographics
NPI:1346263357
Name:TAN, CHEE HIAN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CHEE
Middle Name:HIAN
Last Name:TAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:JAMES CHEE HIAN
Other - Middle Name:
Other - Last Name:TAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:800 FAIRMOUNT AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3150
Mailing Address - Country:US
Mailing Address - Phone:626-817-4701
Mailing Address - Fax:626-817-4702
Practice Address - Street 1:625 S FAIR OAKS AVE
Practice Address - Street 2:SUITE 285
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2613
Practice Address - Country:US
Practice Address - Phone:626-817-4747
Practice Address - Fax:626-817-4748
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA111014207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology