Provider Demographics
NPI:1962561605
Name:TANG, ANDREW LIANG (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:LIANG
Last Name:TANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4275 VIA ARBOLADA
Mailing Address - Street 2:#209
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-5101
Mailing Address - Country:US
Mailing Address - Phone:626-590-0223
Mailing Address - Fax:
Practice Address - Street 1:4275 VIA ARBOLADA
Practice Address - Street 2:#209
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90042-5101
Practice Address - Country:US
Practice Address - Phone:626-590-0223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89857208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery