Provider Demographics
NPI:1578990925
Name:DANG, RICHARD HO (PHARMD, BCACP)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HO
Last Name:DANG
Suffix:
Gender:M
Credentials:PHARMD, BCACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 SAN PABLO ST STE 144
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-5394
Mailing Address - Country:US
Mailing Address - Phone:323-442-5992
Mailing Address - Fax:323-442-5916
Practice Address - Street 1:1510 SAN PABLO ST
Practice Address - Street 2:#144
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-5320
Practice Address - Country:US
Practice Address - Phone:323-442-5992
Practice Address - Fax:323-442-5916
Is Sole Proprietor?:No
Enumeration Date:2013-10-01
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69784183500000X, 1835P2201X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA10000OtherCA BOARD OF PHARMACY
CA69784OtherCA BOARD OF PHARMACY