Individual
JUN TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8700 BEVERLY BLVD, RM 8211, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5841
Mailing address
20 WILLOW TREE LN, IRVINE, CA 92612-2229
(949) 241-3910
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A118520
CA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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