Doctor Name: | JOHNNY K DANG |
NPI Number: | 1457385809 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A43453 |
Business Practice Address: | 24511 W Jayne Ave Coalinga, CA - 932109503 |
Business Phone Number: | 5599354301 |
Business Fax Number: | 5599357118 |
Mailing Address: | 24511 W Jayne Ave, COALINGA |
State: | CA |
Postal Code: | 932109503 |
Phone Number: | 5599354301 |
Fax Number: | 5599357118 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | A43453 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |