Healthcare Provider Details

I. General information

NPI: 1932489556
Provider Name (Legal Business Name): MELISSA DANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2011
Last Update Date: 08/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1757 WALLER ST
SAN FRANCISCO CA
94117-2727
US

IV. Provider business mailing address

1757 WALLER ST
SAN FRANCISCO CA
94117-2727
US

V. Phone/Fax

Practice location:
  • Phone: 415-387-3684
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2470A2800X
TaxonomyAssistant Health Information Record Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: