Provider Demographics
NPI:1396984969
Name:TANG, FRANK QUEI-CHUAN (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:QUEI-CHUAN
Last Name:TANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40690 CALIF OAKS RD # A
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5857
Mailing Address - Country:US
Mailing Address - Phone:951-677-0098
Mailing Address - Fax:951-677-2017
Practice Address - Street 1:40690 CALIF OAKS RD # A
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5857
Practice Address - Country:US
Practice Address - Phone:951-677-0098
Practice Address - Fax:951-677-2017
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38063208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A380630Medicaid
CA00A380630Medicaid
CA00A380630Medicare PIN