Provider Demographics
NPI:1780249284
Name:DANG, GINA (LAC, DAIM)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:
Last Name:DANG
Suffix:
Gender:F
Credentials:LAC, DAIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3294
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91221-0294
Mailing Address - Country:US
Mailing Address - Phone:323-380-2226
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 3294
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91221-0294
Practice Address - Country:US
Practice Address - Phone:323-380-2226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-09
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC18902171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist