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Licensing details for: 10595

Name: TANG, MAI NGOC

License Type: Optometrist

Primary Status: Current Primary Status Definition

Specialty: TPGPrimary Status Definition

Previous Names: TANG, MAI N TANG, MAI

Address of Record

1893 MALVERN AVENUE
FULLERTON CA 92832
ORANGE county
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Issuance Date

September 28, 1995

Expiration Date

March 31, 2027

Current Date / Time

April 3, 2026
8:08:06 PM

License Relationships

Registered Dispensing Optician/Optometrist Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: TARGET OPTICAL #1975

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7488 Primary Status: Current

Address :
12300 Seal Beach Blvd
SEAL BEACH CA 90740-2709
ORANGE COUNTY

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Registered Dispensing Optician/Optometrist Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: TARGET OPTICAL #2044

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7492 Primary Status: Current

Address :
1893 W Malvern Ave
FULLERTON CA 92833-2403
ORANGE COUNTY

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Statement of Licensure to Optometrist

License/Registration Role: Optometrist

Related Party Role: Statement of Licensure

Name: TANG, MAI NGOC

License/Registration Type: Statement of Licensure

License Number: 12951 Primary Status: Current

Address :
12300 Seal Beach Blvd
SEAL BEACH CA 90740-2709

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