Provider Demographics
NPI:1558682310
Name:DNG, VINCENT (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:
Last Name:DNG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 GARDEN GROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1206
Mailing Address - Country:US
Mailing Address - Phone:714-638-6311
Mailing Address - Fax:714-530-8513
Practice Address - Street 1:11000 GARDEN GROVE BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1206
Practice Address - Country:US
Practice Address - Phone:714-638-6311
Practice Address - Fax:714-530-8513
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46515183500000X
NV11834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist