Organization
HENRY TANG, D.O. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA NGUYEN (OFFICE MANAGER)
(805) 579-9999
Entity
Organization
Contact information
Practice address
2650 JONES WAY STE 30, SIMI VALLEY, CA 93065-1221
(805) 579-9999
(805) 579-9900
Mailing address
2650 JONES WAY STE 30, SIMI VALLEY, CA 93065-1221
(805) 579-9999
(805) 579-9900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20A9024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700069630
NPI NUMBER
CA
Enumeration date
01/16/2009
Last updated
05/22/2012
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