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NPI Code Detail

MEDICARE: DAVID DANG

MEDICARE: DAVID 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
1183500000XPharmacist54501CA

General Provider Information

NPI Number : 1609182989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID DANG
Provider Business Mailing Address
First Line : 8586 WALKER ST
Second Line :
City : CYPRESS
State : CA
Zip : 90630-5901
Country : US
Telephone Number : 562-896-3823
Fax Number :
Provider Business Practice Location Address
First Line : 1174 W 6TH ST.
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017
Country : US
Telephone Number : 213-413-2458
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2010
Last Update Date : 08/25/2010

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