Kim Thu Tang, M.D. Valid NPI

Individual provider · Dermatology Physician · Lake Forest, CA

NPI

1790746147

Type

Individual (Type 1)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

G78563 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-03-28

Last updated

2020-10-06