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
Fax: (323) 255-9928
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053307033 NPPES
California MEDICAID SD0117520
California Other 11752T

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