Healthcare Provider Details

I. General information

NPI: 1427432509
Provider Name (Legal Business Name): SINKA TANG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2015
Last Update Date: 07/08/2022
Certification Date: 07/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3837 N CLARK ST
FRESNO CA
93726-4806
US

IV. Provider business mailing address

3837 N CLARK ST
FRESNO CA
93726-4806
US

V. Phone/Fax

Practice location:
  • Phone: 877-960-3426
  • Fax:
Mailing address:
  • Phone: 877-960-3426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberNP95002295
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP95002295
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: