Provider Demographics
NPI:1023245198
Name:TANG, CHIN (DO)
Entity type:Individual
Prefix:
First Name:CHIN
Middle Name:
Last Name:TANG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 TERMINO AVE
Mailing Address - Street 2:MENTAL HEALTH ASSOCIATES OF LONG BEACH
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-1764
Mailing Address - Country:US
Mailing Address - Phone:562-987-0665
Mailing Address - Fax:
Practice Address - Street 1:412 TERMINO AVE
Practice Address - Street 2:MENTAL HEALTH ASSOCIATES OF LONG BEACH
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90814-1764
Practice Address - Country:US
Practice Address - Phone:562-987-0665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8212084P0800X
CAA2010730208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice