Provider Demographics
NPI:1376885673
Name:DANG, MICHELLE LANANH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LANANH
Last Name:DANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 W MCFADDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-1306
Mailing Address - Country:US
Mailing Address - Phone:714-775-7501
Mailing Address - Fax:
Practice Address - Street 1:3600 W MCFADDEN AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-1306
Practice Address - Country:US
Practice Address - Phone:714-775-7501
Practice Address - Fax:714-775-8002
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-25
Last Update Date:2023-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist