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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
MAI TANG O.D (PRESIDENT)
(714) 924-2552
Entity
Organization
Contact information
Practice address
12300 SEAL BEACH BLVD, SEAL BEACH, CA 90740-2709
(714) 924-2552
(562) 594-8416
Mailing address
5365 GRANBY DR, YORBA LINDA, CA 92887-3712
(714) 924-2552
(562) 594-8416
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10595T
CA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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