Provider Demographics
NPI:1780711051
Name:YOUNG-HOOKS, TANGIE AMBER (LVN)
Entity type:Individual
Prefix:MRS
First Name:TANGIE
Middle Name:AMBER
Last Name:YOUNG-HOOKS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MISS
Other - First Name:TANGIE
Other - Middle Name:AMBER
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7200 BANCROFT AVE STE 125A
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-2457
Mailing Address - Country:US
Mailing Address - Phone:734-478-9986
Mailing Address - Fax:
Practice Address - Street 1:7200 BANCROFT AVE STE 125A
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-2457
Practice Address - Country:US
Practice Address - Phone:734-478-9986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293438164X00000X
225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No164X00000XNursing Service ProvidersLicensed Vocational Nurse