Organization
CENTRAL BRISTOL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NHIEP TANG MD (OWNER)
(714) 241-8162
Entity
Organization
Contact information
Practice address
1155 W CENTRAL AVE, SUITE 108, SANTA ANA, CA 92707
(714) 241-8162
(714) 241-8163
Mailing address
1155 W CENTRAL AVE, SUITE 108, SANTA ANA, CA 92707
(714) 241-8162
(714) 241-8163
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A36670
CA
208800000X
Urology Physician
A37133
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A371330
—
CA
Enumeration date
01/22/2007
Last updated
09/11/2025
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