Individual
DR. DENNIS J BANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
691 S HARVARD BLVD, LOS ANGELES, CA 90005-2513
(213) 235-5388
(475) 313-1265
Mailing address
691 S HARVARD BLVD, LOS ANGELES, CA 90005-2513
(213) 235-5388
(475) 313-1265
Taxonomy
Speciality
Code
Description
License number
State
208200000X
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
01/12/2007
Last updated
03/07/2025
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