Provider Demographics
NPI:1023473915
Name:TANG, IOK I (PHARMD)
Entity type:Individual
Prefix:
First Name:IOK I
Middle Name:
Last Name:TANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:YOKI
Other - Middle Name:
Other - Last Name:TANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:420 GOLDEN GATE AVE
Mailing Address - Street 2:APT. 102
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801-3884
Mailing Address - Country:US
Mailing Address - Phone:408-550-5159
Mailing Address - Fax:
Practice Address - Street 1:1150 MACDONALD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-3116
Practice Address - Country:US
Practice Address - Phone:510-236-5748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH74014183500000X
OHRPH. 03335053-3183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist