Healthcare Provider Details

I. General information

NPI: 1740279454
Provider Name (Legal Business Name): MAY YEE TANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 03/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17909 SOLEDAD CANYON RD
CANYON COUNTRY CA
91387-3210
US

IV. Provider business mailing address

PO BOX 9602
MISSION HILLS CA
91346-9602
US

V. Phone/Fax

Practice location:
  • Phone: 661-250-5225
  • Fax: 661-250-5290
Mailing address:
  • Phone: 818-837-5691
  • Fax: 818-792-4793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA82643
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: