Doctor Name: | CHIN TANG |
NPI Number: | 1023245198 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | A2010730 |
Business Practice Address: | 412 Termino Ave Mental Health Associates Of Long Beach Long Beach, CA - 908141764 |
Business Phone Number: | 5629870665 |
Business Fax Number: | |
Mailing Address: | 412 Termino Ave, Mental Health Associates Of Long Beach LONG BEACH |
State: | CA |
Postal Code: | 908141764 |
Phone Number: | 5629870665 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2009 |
NPI Last Update Date: | 06/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A2010730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |