# PHUC DANG, MD CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477906717
- **Authorized official:** PHUC N DANG (PRESIDENT)
- **Authorized official phone:** (714) 442-5052

## Contact information

- **Practice address:** 1006 MISSION DR APT A, SUITE 200, COSTA MESA, CA 92626-4217
- **Practice address phone:** (714) 442-5052
- **Mailing address:** 300 OLD RIVER RD, SUITE 200, BAKERSFIELD, CA 93311-9503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | A117592 | CA | Yes |

## Other

- **Enumeration date:** 07/21/2016
- **Last updated:** 07/21/2016