Provider Demographics
NPI:1417942939
Name:LANG, FRANK JOHN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOHN
Last Name:LANG
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1345 WHISPERING PINES LN
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-5952
Mailing Address - Country:US
Mailing Address - Phone:530-273-9340
Mailing Address - Fax:530-273-7255
Practice Address - Street 1:1345 WHISPERING PINES LN
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5952
Practice Address - Country:US
Practice Address - Phone:530-273-9340
Practice Address - Fax:530-273-7255
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2021-11-29
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Provider Licenses
StateLicense IDTaxonomies
CAG808370207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G808370Medicaid
CA00G808370Medicare PIN
CAG080837Medicare UPIN