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General NPI Number Information
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NPI Number | 1952265050
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Entity Type | Organization
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Legal Business Name | SHI TANG MD INC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 16011 E PRESERVE LOOP
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City | CHINO
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State | CA
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Zip | 91708
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Country | US
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Telephone | 840-465-2899
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Fax |
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Provider Business Mailing Address
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Address Line | 560 W MAIN ST STE C
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City | ALHAMBRA
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State | CA
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Zip | 91801-3376
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Country | US
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Telephone | 840-465-2899
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHI TANG
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Credential | MD
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Telephone | 840-465-2899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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