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Individual

DR. DERRICK TANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
240 S LA CIENEGA BLVD, SUITE 350, BEVERLY HILLS, CA 90211-3324
(626) 217-8745
Mailing address
240 S LA CIENEGA BLVD, SUITE 350, BEVERLY HILLS, CA 90211-3324
(626) 217-8745

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
27175
CA
111NS0005X
Sports Physician Chiropractor
27175
CA
111NX0800X
Orthopedic Chiropractor
27175
CA

Other

Enumeration date
05/07/2009
Last updated
11/03/2015
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