MEDICARE: MR. NHIEP TANG MD

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	208800000X	Urology Physician	A37133	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982660502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NHIEP TANG MD

Provider Business Mailing Address
First Line	:	1155 W CENTRAL AVE
Second Line	:	STE 108
City	:	SANTA ANA
State	:	CA
Zip	:	92707
Country	:	US
Telephone Number	:	714-241-8162
Fax Number	:	714-241-8163

Provider Business Practice Location Address
First Line	:	1155 W CENTRAL AVE
Second Line	:	STE 108
City	:	SANTA ANA
State	:	CA
Zip	:	92707
Country	:	US
Telephone Number	:	714-241-8162
Fax Number	:	714-241-8163

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

Provider Enumeration Date	:	04/22/2006
Last Update Date	:	10/18/2011

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Directions to “ MR. NHIEP TANG MD” Practice Location

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