Phu Van Dang, MD & Pauline Suong Thi Dang, MD, A Prof Medical Corp
NPI 1093918872ActiveOrganization· Internal Medicine, Nephrology· Garden Grove, CA
Internal Medicine, Nephrology in Garden Grove, California, registered in NPPES in June 2007. The authorized official on file is An Quoc Dang, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093918872 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 7, 2007 |
| Last updated in NPPES | Oct 22, 2026 |
| Certified by provider | Oct 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | A65421 | CA |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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