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

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