MEDICARE: ASTER TANG MS, MSW, IBCLC, LCCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)
2	101YM0800X	Mental Health Counselor	ASW126020	CA

General Provider Information

NPI Number	:	1215689302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASTER TANG MS, MSW, IBCLC, LCCE

Provider Business Mailing Address
First Line	:	142 BRIAN LN
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051-6704
Country	:	US
Telephone Number	:	408-307-1851
Fax Number	:

Provider Business Practice Location Address
First Line	:	142 BRIAN LN
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051-6704
Country	:	US
Telephone Number	:	408-307-1851
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2022
Last Update Date	:	03/10/2026

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