Organization
PHU VAN DANG, MD & PAULINE SUONG THI DANG, MD, A PROF MEDICAL CORP
Active
Other names
Bolsa-Ward Medical Clinic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHU VAN DANG M.D. (PRESIDENT)
(714) 531-5201
Entity
Organization
Contact information
Practice address
13872 HARBOR BLVD, UNIT 1C, GARDEN GROVE, CA 92843-4000
(714) 531-5201
(714) 775-2849
Mailing address
13872 HARBOR BLVD, UNIT 1C, GARDEN GROVE, CA 92843-4000
(714) 531-5201
(714) 775-2849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A41591
CA
207Q00000X
Family Medicine Physician
A42349
CA
207RN0300X
Nephrology Physician
Primary
A65421
CA
Other
Enumeration date
06/07/2007
Last updated
05/20/2014
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