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Organization
MAI TANG OD, INC
Active
Organization
MAI TANG OD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAI TANG O.D. (PRESIDENT)
(714) 924-2552
Entity
Organization
Contact information
Practice address
1893 W MALVERN AVE, FULLERTON, CA 92833-2403
(714) 924-2552
(714) 278-9075
Mailing address
5365 GRANBY DR, YORBA LINDA, CA 92887-3712
(714) 924-2552
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10595T
CA
Other
Enumeration date
05/09/2012
Last updated
10/12/2013
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