Individual
MAI TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21311 MADRONA AVE STE 101, TORRANCE, CA 90503-5970
(562) 221-4843
Mailing address
2237 ALBURY AVE, LONG BEACH, CA 90815-2105
(562) 221-4843
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
882992
CA
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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