Provider Demographics
NPI:1588808943
Name:DAN, DANNY NGHIEP (MD)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:NGHIEP
Last Name:DAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NGHIEP
Other - Middle Name:T
Other - Last Name:DAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:11539 HAWTHORNE BLVD
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2381
Mailing Address - Country:US
Mailing Address - Phone:310-675-5370
Mailing Address - Fax:310-531-2084
Practice Address - Street 1:11539 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-2381
Practice Address - Country:US
Practice Address - Phone:310-675-5370
Practice Address - Fax:310-531-2084
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102928207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology