Organization
DENNIS BANG, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS BANG M.D. (CEO/PHYSICIAN)
(310) 360-7999
Entity
Organization
Contact information
Practice address
99 N LA CIENEGA BLVD, SUITE 303, BEVERLY HILLS, CA 90211-2222
(310) 360-7999
(310) 360-7970
Mailing address
99 N LA CIENEGA BLVD, SUITE 303, BEVERLY HILLS, CA 90211-2222
(310) 360-7999
(310) 360-7970
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
A60220
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
A60220
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
A60220
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A60220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A602200
BLUE SHIELD OF CA
CA
05
—
00A602200
—
CA
01
—
4651925
CIGNA
CA
Enumeration date
08/24/2007
Last updated
08/24/2007
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