Provider Demographics
NPI:1710115035
Name:NARANG, TINA
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:NARANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21555 CALLE PRIMA
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-8542
Mailing Address - Country:US
Mailing Address - Phone:310-463-7449
Mailing Address - Fax:
Practice Address - Street 1:12240 E FIRESTONE BLVD.
Practice Address - Street 2:SUITE 1000
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650
Practice Address - Country:US
Practice Address - Phone:562-864-4596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist