Individual ProviderJennifer TangInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address23413 Lyons Ave, Santa Clarita, CA 91355(661) 593-7500PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Tang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1346275831Provider TypeIndividualFull NameTang, JenniferCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/12/2006Last Updated4/16/2019Contact InformationPractice LocationPractice Address23413 Lyons Ave, Santa Clarita, CA 91355Phone(661) 593-7500FaxUnlisted FaxMailing LocationMailing Address23413 Lyons Ave, Santa Clarita, CA 91355-3028Phone(661) 593-7500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseC160379CaliforniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense25MA07519600New JerseyCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense25MA075198600New JerseyProvider IdentifiersIDDescriptionIssuerID0039853DescriptionMedicaidIssuerUnlistedNew Jersey