Quinn Vi Tang P.A.

NPI 1033153572 - Physician Assistant - 363A00000X

NPI Details
NPI 1033153572
Gender Male
Enumeration Date 06/15/2006
Last Updated 03/20/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1420 S CENTRAL AVE
GLENDALE CA, 91204-2508, US
Phone (818) 502-2344
Fax (818) 502-4501
Business Location
15243 DAPHNE AVE
GARDENA CA, 90249-4121, US
Phone (310) 686-3107
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA15202
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According to our database, Quinn Vi Tang P.A. NPI is 1033153572, taxonomy code is 363A00000X and license number is PA15202, license state is located at California. Quinn Vi Tang P.A. physically located at 1420 S Central Ave, Glendale CA, 91204-2508. NPI Number Quinn Vi Tang P.A. has the Individual type.

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1033153572 NPI number is provided on an as is basis without warranty of any kind. 1033153572 is maintained by the National Plan & Provider Enumeration System. The contents of Quinn Vi Tang P.A. are for informational purposes only.