Jennifer Dang, O.D., a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JENNIFER DANG, O.D., A PROFESSIONAL CORPORATION

Practice address

301 S Western Ave Ste 103
Los Angeles, CA 90020-3816

Phone

(424) 234-8382

Fax

(213) 388-1447

NPI assigned

Sep 28, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Dang, ODNPI 1770921942

Title

President

Phone

(310) 880-4060

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Anne Dang, O.D.

  • Optometrist
  • Pasadena, CA
  • NPI 1770921942
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1013524677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S ALEXANDRIA AVE APT 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045952",
            "telephone_number": "310-880-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S WESTERN AVE STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203816",
            "telephone_number": "424-234-8382",
            "fax_number": "213-388-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER DANG, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-880-4060",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@jenniferdangod.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "301 S Western Ave Ste 103",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900203816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jennifer Michael MD, a Medical Corporation
• Jennifer R. Park-Cruz Dental Corporation
• Jennifer Rae Levitt Physician Assistant, Inc

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.