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Phuong Nguyen Tang, PA Valid NPI

Individual provider · Physician Assistant · Pasadena, CA

NPI
1609128693
Type
Individual (Type 1)
Primary specialty
Physician Assistant
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363A00000X
License number
PA22588 (CA)
Sex
Female
Sole proprietor
No
Enumerated
2012-10-15
Last updated
2019-08-13
Practice location
630 S Raymond Ave Unit 240
Pasadena, CA 91105-3283
(626) 449-9920

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