Individual
MR. DAVID TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
12927 VENICE BLVD, LOS ANGELES, CA 90066
(310) 210-6778
Mailing address
12927 VENICE BLVD, LOS ANGELES, CA 90066-3509
(310) 210-6778
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16891
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
—
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Other
Enumeration date
12/09/2016
Last updated
08/29/2018
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