Provider Demographics
NPI:1861658718
Name:TIEU, DAVID DANG (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DANG
Last Name:TIEU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4900 W SUNSET BLVD
Mailing Address - Street 2:6TH FLOOR, HEAD AND NECK SURGERY
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5814
Mailing Address - Country:US
Mailing Address - Phone:800-954-8000
Mailing Address - Fax:323-783-8211
Practice Address - Street 1:4900 W SUNSET BLVD
Practice Address - Street 2:6TH FLOOR, HEAD AND NECK SURGERY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5814
Practice Address - Country:US
Practice Address - Phone:800-954-8000
Practice Address - Fax:323-783-8211
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA60208875207YP0228X
CAA120391207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA60208875OtherWASHINGTON STATE DEPARTMENT OF HEALTH
CAA120391OtherMEDICAL BOARD OF CALIFORNIA