Provider Demographics
NPI:1659162972
Name:DANG, BENJAMIN BINH
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:BINH
Last Name:DANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10068 W SAVONA DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-8118
Mailing Address - Country:US
Mailing Address - Phone:916-895-4211
Mailing Address - Fax:
Practice Address - Street 1:10068 W SAVONA DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-8118
Practice Address - Country:US
Practice Address - Phone:916-895-4211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program