Provider Demographics
NPI:1992032239
Name:TANG, JIN (MD)
Entity Type:Individual
Prefix:
First Name:JIN
Middle Name:
Last Name:TANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3144 G ST STE 125
Mailing Address - Street 2:PMB 293
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-1385
Mailing Address - Country:US
Mailing Address - Phone:209-383-7304
Mailing Address - Fax:209-383-7308
Practice Address - Street 1:394 E YOSEMITE AVE
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-8218
Practice Address - Country:US
Practice Address - Phone:209-383-3990
Practice Address - Fax:209-383-2082
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2021-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA109699207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine