PENGFEI TANG MD
NPI 1639934847
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since February 16, 2024
885 TIVERTON DRIVE, LOS ANGELES, CA 90095(310) 825-6373 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pengfei Tang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENGFEI TANG MD (NPI 1639934847) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1639934847
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePENGFEI TANGCredential: MD
Location Address885 TIVERTON DRIVELos Angeles, CA 90095-0001
Mailing Address885 Tiverton DriveLos Angeles, CA 90095-0001 · (310) 825-6373
Sole ProprietorYes
Enumeration DateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
NPI 1639934847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

885 TIVERTON DRIVE, Los Angeles, CA 90095

Other Names 1

Other Name (5)Jack Pengfei Tang Md

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639934847, enumerated as an "individual" on February 16, 2024.

The provider is located at 885 TIVERTON DRIVE LOS ANGELES, CA 90095 and the phone number is (310) 825-6373.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.