1346310638 NPI number — MS. DIANA GEE TANG M.D.

Table of content: MS. DIANA GEE TANG M.D. (NPI 1346310638)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346310638 NPI number — MS. DIANA GEE TANG M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TANG
Provider First Name:
DIANA
Provider Middle Name:
GEE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TANG
Provider Other First Name:
DIANA
Provider Other Middle Name:
GEE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1346310638
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/21/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1700 CALIFORNIA ST STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94109-4587
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-440-6700
Provider Business Mailing Address Fax Number:
415-440-6707

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1700 CALIFORNIA ST STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94109-4587
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-440-6700
Provider Business Practice Location Address Fax Number:
415-440-6707
Provider Enumeration Date:
11/08/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  A48013 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)