Viet Van Dang,M.D. Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G48829 Issued in CA

Legal business name

VIET VAN DANG,M.D. INC.

Practice address

10301 Bolsa Ave
104
Westminster, CA 92683-6784

Phone

(714) 775-0898

Fax

(714) 775-4208

NPI assigned

Jan 22, 2008

Last updated

Jan 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Dang

Title

Office Manager

Phone

(714) 775-0898

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Viet Van Dang, M.D.

  • Ophthalmology Physician
  • Westminster, CA
  • NPI 1548276454
  Medicare reassignment NPD

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1104003185",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "10301 BOLSA AVE",
            "address_2": "104",
            "city": "WESTMINSTER",
            "state": "CALIFORNIA",
            "postal_code": "92683",
            "telephone_number": "714-775-0898",
            "fax_number": "714-775-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 BOLSA AVE",
            "address_2": "104",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836784",
            "telephone_number": "714-775-0898",
            "fax_number": "714-775-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIET VAN DANG,M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-775-0898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G48829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G488290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.