Individual provider · Type 1 NPI
Susan Tang
Gastroenterology Registered Nurse · Los Angeles, CA
NPI number
1255858700
Active
Practice location
1983 Marengo St
Los Angeles, CA 90033-1370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gastroenterology Registered Nurse Primary | 163WG0100X | 458835 (CA) |
Gastroenterology Registered Nurse: Definition to come...
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About NPI 1255858700
Susan Tang's National Provider Identifier is 1255858700, issued on Aug 25, 2017. The primary taxonomy on file is Gastroenterology Registered Nurse (163WG0100X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 21, 2022.