Provider Demographics
NPI:1003018474
Name:DAVID J. LANG, MD, INC
Entity Type:Organization
Organization Name:DAVID J. LANG, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-706-2751
Mailing Address - Street 1:359 SAN MIGUEL DR
Mailing Address - Street 2:206
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7812
Mailing Address - Country:US
Mailing Address - Phone:949-706-2751
Mailing Address - Fax:949-706-2761
Practice Address - Street 1:359 SAN MIGUEL DR
Practice Address - Street 2:206
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7812
Practice Address - Country:US
Practice Address - Phone:949-706-2751
Practice Address - Fax:949-706-2761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG508782080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious DiseasesGroup - Single Specialty