Individual
CHRISTIE ANGELIE TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 ALICANTE AISLE, IRVINE, CA 92614-8551
(818) 251-0652
Mailing address
214 ALICANTE AISLE, IRVINE, CA 92614-8551
(818) 251-0652
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95023830
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134684
NBCRNA
CA
01
—
95001465
BRN
CA
01
—
95023830
BRN
CA
Enumeration date
12/16/2020
Last updated
12/22/2021
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