Provider Demographics
NPI:1346320249
Name:TANG, HWAI-EN JUBILEE (OD)
Entity Type:Individual
Prefix:DR
First Name:HWAI-EN
Middle Name:JUBILEE
Last Name:TANG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7095 MARKET PLACE DR
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-5905
Mailing Address - Country:US
Mailing Address - Phone:805-562-1300
Mailing Address - Fax:
Practice Address - Street 1:7095 MARKET PLACE DR
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-5905
Practice Address - Country:US
Practice Address - Phone:805-562-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10784TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist