Individual
DEBRA LINDA TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
483 N AVIATION BLVD BLDG 210, EL SEGUNDO, CA 90245-2808
(310) 653-6679
(310) 653-6453
Mailing address
483 N AVIATION BLVD BLDG 210, EL SEGUNDO, CA 90245-2808
(310) 653-6679
(310) 653-6453
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A70179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A701790
—
CA
Enumeration date
11/20/2006
Last updated
06/27/2025
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