Individual
DR. DANIEL STEPHENSON TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5835 YORK BLVD, LOS ANGELES, CA 90042-2634
(323) 255-7131
(323) 255-9928
Mailing address
5835 YORK BLVD, LOS ANGELES, CA 90042-2634
(323) 255-7131
(323) 255-9928
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11752
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11752T
LICENSE #
CA
05
—
SD0117520
—
CA
Enumeration date
09/23/2005
Last updated
03/07/2023
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