Debra Linda Tang, MD | |
483 N Aviation Blvd Bldg 210, El Segundo, CA 90245-2808 | |
(310) 653-6679 | |
(310) 653-6453 |
Full Name | Debra Linda Tang |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 483 N Aviation Blvd Bldg 210, El Segundo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629142518 | NPI | - | NPPES |
00A701790 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A70179 (California) | Primary |
Entity Name | Northeast Valley Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067 |
Mailing Address | Practice Location Address |
---|---|
Debra Linda Tang, MD 483 N Aviation Blvd Bldg 210, El Segundo, CA 90245-2808 Ph: (310) 653-6679 | Debra Linda Tang, MD 483 N Aviation Blvd Bldg 210, El Segundo, CA 90245-2808 Ph: (310) 653-6679 |
Krista Grimm, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 483 N Aviation Blvd Bldg 210, 61 Mds/sgoc, El Segundo, CA 90245 Phone: 310-653-2873 | |
Dr. Syed G Mohiuddin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 483 N Aviation Blvd, El Segundo, CA 90245 Phone: 310-653-2873 | |
Dr. Elena Del Refugio Ruiz-rios, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 740 S Allied Way Ste D, El Segundo, CA 90245 Phone: 310-500-2045 | |
Dr. Stephanie Mae Lampke, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 483 N Aviation Blvd, El Segundo, CA 90245 Phone: 310-653-2873 | |
Dr. Leonard S Sender, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2040 E Mariposa Ave, El Segundo, CA 90245 Phone: 213-266-5600 |