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Individual

TIMOTHY BANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 997-3000
Mailing address
47 PLATEAU, ALISO VIEJO, CA 92656-8027

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN95132765
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95032634
CA

Other

Enumeration date
10/22/2021
Last updated
03/28/2025
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