Basic Information
Provider Information
NPI: 1780666339
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TANG-PIERI
FirstName: MEI
MiddleName: HAN
NamePrefix: MRS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13193 CENTRAL AVENUE
Address2: SUITE 200
City: CHINO
State: CA
PostalCode: 91710
CountryCode: US
TelephoneNumber: 9099029111
FaxNumber: 9099029199
Practice Location
Address1: 13193 CENTRAL AVENUE
Address2: SUITE 200
City: CHINO
State: CA
PostalCode: 91710
CountryCode: US
TelephoneNumber: 9099029111
FaxNumber: 9099029199
Other Information
ProviderEnumerationDate: 11/18/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XLCSW 14998CAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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