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Individual

DR. MARVIN TIEU DANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
993 AVENIDA PICO STE 130, SAN CLEMENTE, CA 92673-3908
(949) 557-0410
Mailing address
580 ANTON BLVD UNIT 454, COSTA MESA, CA 92626-7048

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A23024
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20A23024
CA

Other

Enumeration date
05/07/2018
Last updated
10/20/2025
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