Provider Demographics
NPI:1881928257
Name:DANG, HUYEN (OD)
Entity type:Individual
Prefix:
First Name:HUYEN
Middle Name:
Last Name:DANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 E CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2101
Mailing Address - Country:US
Mailing Address - Phone:408-376-0681
Mailing Address - Fax:408-376-0681
Practice Address - Street 1:517 E CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2101
Practice Address - Country:US
Practice Address - Phone:408-376-0681
Practice Address - Fax:408-376-0681
Is Sole Proprietor?:No
Enumeration Date:2009-10-01
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14333TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NOT RECEIVED YETMedicare PIN