Provider Demographics
NPI:1932202470
Name:DANG, TZE YU (MD)
Entity Type:Individual
Prefix:DR
First Name:TZE
Middle Name:YU
Last Name:DANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:411 N CENTRAL AVE STE 305
Mailing Address - Street 2:SUITE 305
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2020
Mailing Address - Country:US
Mailing Address - Phone:818-500-0205
Mailing Address - Fax:818-500-1348
Practice Address - Street 1:540 N CENTRAL AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203
Practice Address - Country:US
Practice Address - Phone:818-500-0205
Practice Address - Fax:818-500-1348
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2014-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG44887207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G44887Medicaid
CA00G44887Medicaid
A89807Medicare UPIN