Healthcare Provider Details

I. General information

NPI: 1396312468
Provider Name (Legal Business Name): QUYNH-CHI LE DANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 STOCKTON BLVD STE 7200
SACRAMENTO CA
95817-2207
US

IV. Provider business mailing address

UT SOUTHWESTERN MEDICAL SCHOOL 5323 HARRY HINES BLVD
DALLAS TX
75390
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-5005
  • Fax:
Mailing address:
  • Phone: 214-648-2168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number1396312468
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: