Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phu Van Dang, MD & Pauline Suong Thi Dang, MD, a Prof Medical Corp

Organization Family Medicine Physician · NPI 1093918872

Phu Van Dang, MD & Pauline Suong Thi Dang, MD, a Prof Medical Corp is a Family Medicine Physician in Garden Grove, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13872 Harbor Blvd Unit 1C
Garden Grove, CA 92843-4000
Phone: (714) 531-5201
Fax: (714) 775-2849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A65421 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A41591 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A42349 (CA)

Record details

NPI number1093918872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phu Dang — President · (714) 531-5201
Other names Bolsa-Ward Medical Clinic, Inc.
NPI enumeratedJune 7, 2007
Last updated in NPPESMay 20, 2014
Mailing address13872 Harbor Blvd, Unit 1c, Garden Grove, CA 92843-4000

Other providers in Garden Grove