Tang, Daniel Stephenson
Tang, Daniel Stephenson is an individual health care provider with primary practice located at 5835 York Blvd , Los Angeles CA 90042-2634. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tang, Daniel Stephenson can be contacted via phone (323) 255-7131.Contact Information
Primary practice address
5835 York Blvd
Los Angeles CA 90042-2634
Phone: (323) 255-7131
Fax: (323) 255-9928
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 11752 | California |
Profile Details
NPI number | 1053307033 |
---|---|
LBN Legal business name | Tang, Daniel Stephenson |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2005 |
Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053307033 | NPPES |
California | MEDICAID | SD0117520 | |
California | Other | 11752T |
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