Provider Demographics
NPI:1255404224
Name:LANG, HOWARD GERALD (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:GERALD
Last Name:LANG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4950 BARRANCA PKWY
Mailing Address - Street 2:307
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4671
Mailing Address - Country:US
Mailing Address - Phone:949-552-1313
Mailing Address - Fax:949-552-0340
Practice Address - Street 1:4950 BARRANCA PKWY
Practice Address - Street 2:307
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4671
Practice Address - Country:US
Practice Address - Phone:949-552-1313
Practice Address - Fax:949-552-0340
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG16058207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA39695Medicare UPIN