Provider Demographics
NPI:1255822276
Name:TANG, YIYING (DAIM/LAC)
Entity type:Individual
Prefix:DR
First Name:YIYING
Middle Name:
Last Name:TANG
Suffix:
Gender:M
Credentials:DAIM/LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 VANCOUVER AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-5908
Mailing Address - Country:US
Mailing Address - Phone:626-202-7383
Mailing Address - Fax:
Practice Address - Street 1:360 E LAS TUNAS DR STE 202
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-5514
Practice Address - Country:US
Practice Address - Phone:626-528-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-24
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18011171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist