Provider Demographics
NPI:1053174243
Name:TANG, ARIANNA (NP)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:
Last Name:TANG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14322 DICKENS ST UNIT 8
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-5861
Mailing Address - Country:US
Mailing Address - Phone:760-995-6972
Mailing Address - Fax:
Practice Address - Street 1:14322 DICKENS ST UNIT 8
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-5861
Practice Address - Country:US
Practice Address - Phone:760-995-6972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95026341363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily