Healthcare Provider Details

I. General information

NPI: 1376727974
Provider Name (Legal Business Name): ALAN BAO-CHAN DANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 03/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 PARNASSUS AVE MU-320W, UCSF ORTHOPAEDIC SURGERY
SAN FRANCISCO CA
94143-0728
US

IV. Provider business mailing address

500 PARNASSUS AVE MU-320W, UCSF ORTHOPAEDIC SURGERY
SAN FRANCISCO CA
94143-0728
US

V. Phone/Fax

Practice location:
  • Phone: 415-221-4810
  • Fax:
Mailing address:
  • Phone: 415-221-4810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA116008
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberA116008
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: