Tang, Debra Linda
Tang, Debra Linda is an individual health care provider with primary practice located at 483 N Aviation Blvd Bldg 210 , El Segundo CA 90245-2808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tang, Debra Linda can be contacted via phone (310) 653-6679.Contact Information
Primary practice address
483 N Aviation Blvd Bldg 210
El Segundo CA 90245-2808
Phone: (310) 653-6679
Fax: (310) 653-6453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A70179 | California |
Profile Details
| NPI number | 1629142518 |
|---|---|
| LBN Legal business name | Tang, Debra Linda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Feb 28th, 2024 - about 9 months 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 | 1629142518 | NPPES |
| California | MEDICAID | 00A701790 |
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