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Individual

HANK K. TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3113
(562) 799-3151
Mailing address
PO BOX 650811, DALLAS, TX 75265-0811
(972) 715-5000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1376
WI
207L00000X
Anesthesiology Physician
Primary
40643
CO
207L00000X
Anesthesiology Physician
C54078
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C540780
BLUE SHIELD
CA
05
04706030
CO
05
1699745489
CA
01
1942504501
BLUE CROSS
CA
Enumeration date
01/24/2006
Last updated
07/09/2021
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