Provider Demographics
NPI:1881211811
Name:TANG, CALEB STEPHEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CALEB
Middle Name:STEPHEN
Last Name:TANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-3319
Mailing Address - Country:US
Mailing Address - Phone:949-220-1822
Mailing Address - Fax:
Practice Address - Street 1:2260 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-3319
Practice Address - Country:US
Practice Address - Phone:877-541-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82440183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist