Individual
CALEB TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1815 HAWTHORNE BLVD, STE 236, REDONDO BEACH, CA 90278-3420
(310) 370-9598
Mailing address
1815 HAWTHORNE BLVD, STE 236, REDONDO BEACH, CA 90278-3420
(310) 370-9598
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14143TLG
CA
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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