MEDICARE: ELIZABETH BAO-CHAU DANG PHARM.D.

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
1	390200000X	Student in an Organized Health Care Education/Training Program		CA
2	183500000X	Pharmacist	55060	CA

General Provider Information

NPI Number	:	1164844205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH BAO-CHAU DANG PHARM.D.

Provider Business Mailing Address
First Line	:	995 FIGUEROA TERRACE
Second Line	:	105
City	:	LOS ANGELES
State	:	CA
Zip	:	90012
Country	:	US
Telephone Number	:	323-819-6008
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 N EL MOLINO AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-1805
Country	:	US
Telephone Number	:	323-819-6008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2014
Last Update Date	:	09/30/2025

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