Provider Demographics
NPI:1003520511
Name:TANG, SARAH (LAC, DTCM)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:TANG
Suffix:
Gender:F
Credentials:LAC, DTCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19520 TWEED CT
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5038
Mailing Address - Country:US
Mailing Address - Phone:408-892-7180
Mailing Address - Fax:
Practice Address - Street 1:877 W FREMONT AVE STE B1
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2319
Practice Address - Country:US
Practice Address - Phone:408-830-9002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19297171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist