Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT28952 | CA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT28952 | CA |
N | 2251H1300X | Human Factors | PT28952 | CA |
N | 225XH1300X | Human Factors | PT28952 | CA |
N | 2251N0400X | Physical Therapist - Neurology | PT28952 | CA |
N | 2251S0007X | Physical Therapist - Sports | PT28952 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT28952 | CA |
NPI | 1508881145 |
---|---|
Provider Name | Dr. Jimmy Tang Hang |
First Address | Claremont, CA 91711-0171 |
Second Address | Alhambra, CA 91801-3556 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 07/01/2013 |