Healthcare Provider Details

I. General information

NPI: 1184503690
Provider Name (Legal Business Name): GUANGYING TANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19138 E WALNUT DR N
ROWLAND HEIGHTS CA
91748-1432
US

IV. Provider business mailing address

19138 E WALNUT DR N
ROWLAND HEIGHTS CA
91748-1432
US

V. Phone/Fax

Practice location:
  • Phone: 626-389-1610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95031088
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: