Provider Demographics
NPI:1639351125
Name:DANG, DAN VAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:VAN
Last Name:DANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 STORY RD
Mailing Address - Street 2:SUITE 6066
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-2690
Mailing Address - Country:US
Mailing Address - Phone:408-293-5900
Mailing Address - Fax:408-293-5901
Practice Address - Street 1:969 STORY RD
Practice Address - Street 2:SUITE 6066
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-2690
Practice Address - Country:US
Practice Address - Phone:408-293-5900
Practice Address - Fax:408-293-5901
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90388207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology