Provider Demographics
NPI:1861662553
Name:DANG, LAM DUY (MD)
Entity Type:Individual
Prefix:
First Name:LAM
Middle Name:DUY
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 1:10141 WESTMINSTER AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4752
Mailing Address - Country:US
Mailing Address - Phone:714-467-4321
Mailing Address - Fax:714-467-4311
Practice Address - Street 1:10141 WESTMINSTER AVE
Practice Address - Street 2:SUITE E
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4752
Practice Address - Country:US
Practice Address - Phone:714-467-4321
Practice Address - Fax:714-467-4311
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104109207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine