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