Mai Tang Od, INC
NPI #1316206550 in Fullerton, California
Provider Information
- NPI Number
- 1316206550
- Entity Type
- Organization
- Organization Name
- Mai Tang Od, INC
- Primary Specialty
- Optometrist
- Enumeration Date
- May 9, 2012
- Last Updated
- Oct 12, 2013
Practice Location
- Address
- 1893 W MALVERN AVE
- City
- Fullerton
- State
- California
- ZIP Code
- 92833-2403
- Phone
- (714) 924-2552
Authorized Official
- Name
- DR. MAI TANG, O.D.
- Title
- PRESIDENT
- Phone
- (714) 924-2552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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