Sopheap Tang is a General Practice in Riverside, California. Sopheap Tang practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sopheap Tang is 1255523593. The last update date is 2020-01-24.
Sopheap Tang's current location address is 18876 Van Buren Blvd, Riverside, California. You can contact this provider via phone number 9517890200 and fax number 9517890245. The mailing address for Sopheap Tang is 18876 Van Buren Blvd, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sopheap Tang |
|---|---|
| Address | 18876 Van Buren Blvd, Riverside, California |
| Phone Number | 9517890200 |
| Fax Number | 9517890245 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1255523593 |
|---|---|
| Provider Enumeration Date | 2007-08-10 |
| Last Updated Date | 2020-01-24 |
Provider Mailing Address Detail
| Address | 18876 Van Buren Blvd |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 92508 |
| Phone Number | 9517890200 |
| Fax Number | 9517890245 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 56393 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Sopheap Tang?
The Sopheap Tang has been issued the NPI (National Provider Identifier) 1255523593 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Sopheap Tang is physically located?
The Sopheap Tang is physically situated at the following address: 18876 Van Buren Blvd, Riverside, CA, 92508.
What is the Sopheap Tang's specialty and taxonomy code?
The Sopheap Tang's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255523593 to Sopheap Tang?
The Sopheap Tang received its 1255523593 assignment from the Centers for Medicare & Medicaid Services on 2007-08-10.
As of what date was the information regarding Sopheap Tang, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sopheap Tang, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-01-24.
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