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Individual

DR. IRENE TANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3320 S. HILL STREET, LOS ANGELES, CA 90007
(213) 749-5386
(213) 749-8592
Mailing address
3320 S HILL ST, LOS ANGELES, CA 90007-4119
(213) 749-5386
(213) 749-8592

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G43942
CA
2083X0100X
Occupational Medicine Physician
Primary
G43942
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G43942
STATE MEDICAL LICENSE
CA
Enumeration date
04/18/2007
Last updated
02/01/2012
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