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1841725686 NPI number — KAI EN TANG D.O

NPI Number: 1841725686
Health Care Provider/Practitioner: KAI EN TANG D.O

Information about “1841725686” NPI (KAI EN TANG D.O) exists in 1841725686 in HTML format HTML  |  1841725686 in plain Text format TXT  |  1841725686 in PDF (Portable Document Format) PDF  |  1841725686 in an XML format XML  formats.

NPI Number : 1841725686 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841725686",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TANG",
    "FirstName": "KAI EN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.O",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1025 PENNOCK PLACE",
    "SecondLineMailingAddress": "FAMILY MEDICINE CENTER",
    "MailingAddressCityName": "FORT COLLINS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80524",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-926-8993",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1530 HILLHURST AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90027-5516",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-644-3880",
    "PracticeLocationAddressFaxNumber": "323-660-0935",
    "EnumerationDate": "05/01/2017",
    "LastUpdateDate": "03/06/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "18297",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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