Tang, Mai

Tang, Mai is an sole proprietor health care provider with primary practice located at 1893 W Malvern Ave , Fullerton CA 92833-2403. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Tang, Mai can be contacted via phone (714) 925-2552.

Contact Information

Primary practice address
1893 W Malvern Ave Fullerton CA 92833-2403
Fax: (714) 278-9075
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10595T California

Profile Details

NPI number 1144365396
LBN Legal business name Tang, Mai
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Sep 20th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144365396 NPPES
California MEDICAID SD105952

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