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Organization

DAVID J. LANG,MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA M LEMUS CMA (OFFICE MANAGER)
(949) 706-2751
Entity
Organization

Contact information

Practice address
359 SAN MIGUEL DR, SUITE 206, NEWPORT BEACH, CA 92660-7812
(949) 706-2751
Mailing address
2117 VICTORIA DR, SANTA ANA, CA 92706
(714) 478-2140
(949) 706-2761

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G50878
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G508780
MEDI-CAL
CA
Enumeration date
09/22/2010
Last updated
09/22/2010
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