| Ashley Tang Md, Ashley Medical Group, Inc. | |
|
4000 14th St Ste 213 Riverside CA 92501-4009 | |
| (951) 248-0073 | |
| (951) 248-0075 |
| Full Name | Ashley Tang Md, Ashley Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4000 14th St, Riverside, California |
| Authorized Official Name and Position | Ashley Tang (MD) |
| Authorized Official Contact | 9512480073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Tang Md, Ashley Medical Group, Inc. 4000 14th St Ste 213 Riverside CA 92501-4009 Ph: (951) 248-0073 | Ashley Tang Md, Ashley Medical Group, Inc. 4000 14th St Ste 213 Riverside CA 92501-4009 Ph: (951) 248-0073 |
| NPI Number | 1154327773 |
|---|---|
| Provider Enumeration Date | 06/28/2005 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 4486648854 |
|---|---|
| Medicare Enrollment ID | O20040409000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154327773 | NPI | - | NPPES |
| 00A601950 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A60195 (California) | Primary |
| Provider Name | Trinh T Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326014986 PECOS PAC ID: 7012901481 Enrollment ID: I20040416001409 |
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