DR. SONG N TAN M.D.
NPI 1902903685
Pediatrics in Long Beach, CA

Active since September 17, 2006
936 PINE AVE, LONG BEACH, CA 90813(562) 491-9292(562) 495-1878 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Song N Tan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SONG N TAN M.D. (NPI 1902903685) is an individual pediatrics provider in Long Beach, California, licensed in California (A45182) and active in the NPI registry since September 2006. He maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1902903685
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SONG N TANCredential: M.D.
Location Address936 PINE AVELong Beach, CA 90813-4326
Mailing Address936 Pine AveLong Beach, CA 90813-4326 · (562) 269-5658 · Fax (562) 495-1878
Fax(562) 495-1878
Sole ProprietorNo
Enumeration DateSeptember 17, 2006
Last NPPES UpdateJune 2, 2022
NPPES CertifiedJune 2, 2022
NPI 1902903685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A45182
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
936 PINE AVE, Long Beach, CA 90813

Secondary Practice Location 1

Location 11025 Atlantic AveLong Beach, CA 90813-3402 · Phone (562) 491-9292 · Fax (562) 495-1878

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
936 PINE AVE
LONG BEACH, CA 90813
Nurse Practitioner (Pediatrics)
936 PINE AVE
LONG BEACH, CA 90813

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Song Tan's NPI number?

The NPI number for Song Tan is 1902903685. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Song Tan located?

Song Tan practices at 936 Pine Ave, Long Beach, CA 90813. The listed phone number is (562) 491-9292.

What is Song Tan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Song Tan was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.