| Hiep Dinh Dang, D.o., Inc. | |
|
14160 Brookhurst St Garden Grove CA 92843-4657 | |
| (714) 590-9697 | |
| (714) 590-8770 |
| Full Name | Hiep Dinh Dang, D.o., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 14160 Brookhurst St, Garden Grove, California |
| Authorized Official Name and Position | Hiep Dang (PRESIDENT) |
| Authorized Official Contact | 7145909697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiep Dinh Dang, D.o., Inc. 14160 Brookhurst St Garden Grove CA 92843-4657 Ph: (714) 590-9697 | Hiep Dinh Dang, D.o., Inc. 14160 Brookhurst St Garden Grove CA 92843-4657 Ph: (714) 590-9697 |
| NPI Number | 1316081409 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 06/09/2011 |
| Medicare PECOS PAC ID | 5890897698 |
|---|---|
| Medicare Enrollment ID | O20070226000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316081409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A7061 (California) | Primary |
| Provider Name | Hiep D Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356328900 PECOS PAC ID: 1951403187 Enrollment ID: I20070219000627 |
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