Basic Information
Provider Information
NPI: 1780787234
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DANG
FirstName: CATHERINE
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 512717
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900510717
CountryCode: US
TelephoneNumber: 3109671884
FaxNumber: 3109671744
Practice Location
Address1: 8700 BEVERLY BLVD.
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900481865
CountryCode: US
TelephoneNumber: 3109671884
FaxNumber: 3109671744
Other Information
ProviderEnumerationDate: 09/07/2006
LastUpdateDate: 04/13/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XA71205CAN Allopathic & Osteopathic PhysiciansSurgery 
2086S0102XA71205CAY Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care

No ID Information.


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