Individual
LINDA JANE TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 MERCED ST, KAISER PERMANENTE DEPT OF RADIOLOGY, SAN LEANDRO, CA 94577-4201
(510) 454-7507
Mailing address
2500 MERCED ST, KAISER PERMANENTE DEPT OF RADIOLOGY, SAN LEANDRO, CA 94577
(510) 454-7507
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A80493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A804930
MEDICAL
CA
01
—
A80493
STATE LICENSE NUMBER
CA
Enumeration date
06/12/2006
Last updated
06/25/2015
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