Tang, Jim Roque

Tang, Jim Roque is an individual health care provider with primary practice located at 15305 Rayen St , North Hills CA 91343-5117. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Tang, Jim Roque can be contacted via phone (818) 892-3423.

Contact Information

Primary practice address
15305 Rayen St North Hills CA 91343-5117
Phone: (818) 892-3423
Fax: (818) 893-4509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW78635 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW104671 California

Profile Details

NPI number 1982026613
LBN Legal business name Tang, Jim Roque
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2014
Last updated Dec 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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