Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mai Tang

Individual provider Registered Dietitian · NPI 1790519791

Mai Tang is a Registered Dietitian OR Nutrition Professional in Redondo Beach, California. Qualified in 2000, 26 years ago. Practices with Providence Medical Institute, a 336-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

520 N Prospect Ave Ste 103
Redondo Beach, CA 90277-3033
Phone: (310) 376-8816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1499 W 1st St, San Pedro, CA 90732-3255 — (310) 831-9482
  • 20911 Earl St Ste 480, Torrance, CA 90503-4355 — (310) 793-2565

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 882992 (CA)

Record details

NPI number1790519791
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2024
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address520 N Prospect Ave Ste 103, Redondo Beach, CA 90277-3033

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Providence Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Redondo Beach