Doctor Name: | MR. MINH NGOC DANG |
NPI Number: | 1235231333 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A32864 |
Business Practice Address: | 12302 Garden Grove Boulevard Ste #7 Garden Grove, CA - 928431835 |
Business Phone Number: | 7145374343 |
Business Fax Number: | 7145375543 |
Mailing Address: | 12302 Garden Grove Boulevard, Ste #7 GARDEN GROVE |
State: | CA |
Postal Code: | 928431835 |
Phone Number: | 7145374343 |
Fax Number: | 7145375543 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 11/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A32864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |