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NPI Code Detail

MEDICARE: NORMAN CS TANG PT

MEDICARE:   NORMAN CS TANG  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3334CA

General Provider Information

NPI Number : 1619992955
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORMAN CS TANG PT
Provider Business Mailing Address
First Line : 167 NORFOLK DR
Second Line :
City : CARDIFF
State : CA
Zip : 92007-2033
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3350 LA JOLLA VILLAGE DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92161-0002
Country : US
Telephone Number : 858-552-8585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 12/28/2025

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Directions to “ NORMAN CS TANG PT” Practice Location

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