# BILL W. TANG, MD A MED CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164778759
- **Authorized official:** DR. BILL W TANG M.D. (PRESIDENT)
- **Authorized official phone:** (626) 338-3788

## Contact information

- **Practice address:** 1135 S SUNSET AVE, \#206, WEST COVINA, CA 91790-3937
- **Practice address phone:** (626) 338-3788
- **Practice address fax:** (626) 962-0312
- **Mailing address:** 1135 S SUNSET AVE, \#206, WEST COVINA, CA 91790-3937
- **Mailing address phone:** (626) 338-3788
- **Mailing address fax:** (626) 962-0312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A43358 | CA | Yes |

## Other

- **Enumeration date:** 08/01/2012
- **Last updated:** 08/01/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A43358 | — | CA |