Provider Demographics
NPI:1346310638
Name:TANG, DIANA GEE (MD)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:GEE
Last Name:TANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:DIANA
Other - Middle Name:GEE
Other - Last Name:TANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1700 CALIFORNIA ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4587
Mailing Address - Country:US
Mailing Address - Phone:415-440-6700
Mailing Address - Fax:415-440-6707
Practice Address - Street 1:1700 CALIFORNIA ST STE 100
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4587
Practice Address - Country:US
Practice Address - Phone:415-440-6700
Practice Address - Fax:415-440-6707
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2018-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48013208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics