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NPI Code Detail

MEDICARE: VY DANG

MEDICARE: VY DANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist63030CA

General Provider Information

NPI Number : 1124667282
Entity Type Code : Individual
Provider Name (Legal Business Name) : VY DANG
Provider Business Mailing Address
First Line : 83430 LONG COVE DR
Second Line :
City : INDIO
State : CA
Zip : 92203-3078
Country : US
Telephone Number : 760-449-7918
Fax Number :
Provider Business Practice Location Address
First Line : 42155 WASHINGTON ST
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-8006
Country : US
Telephone Number : 760-345-3259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2020
Last Update Date : 01/06/2020

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Directions to “ VY DANG ” Practice Location

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