Provider Demographics
NPI:1245266311
Name:DANG, SATINDER K (MD)
Entity type:Individual
Prefix:DR
First Name:SATINDER
Middle Name:K
Last Name:DANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:17150 EUCLID ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4092
Mailing Address - Country:US
Mailing Address - Phone:714-751-0995
Mailing Address - Fax:714-751-1005
Practice Address - Street 1:17150 EUCLID ST
Practice Address - Street 2:SUITE 200
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4092
Practice Address - Country:US
Practice Address - Phone:714-751-0995
Practice Address - Fax:714-751-1005
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31227208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A312270Medicaid
CA00A312270Medicaid
CAA31227AMedicare PIN