Healthcare Provider Details

I. General information

NPI: 1639978216
Provider Name (Legal Business Name): DBMD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

691 S HARVARD BLVD
LOS ANGELES CA
90005-2513
US

IV. Provider business mailing address

691 S HARVARD BLVD
LOS ANGELES CA
90005-2513
US

V. Phone/Fax

Practice location:
  • Phone: 213-235-5388
  • Fax: 475-313-1265
Mailing address:
  • Phone: 213-235-5388
  • Fax: 475-313-1265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS BANG
Title or Position: OWNER/DIRECTOR
Credential: MD
Phone: 213-929-3828