Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

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 provides Family Medicine Physician services 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 Not confirmed with CMS for 12 years — call before visiting
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

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