1. Home
  2. Directory
  3. California
  4. Garden Grove
  5. Internal Medicine
  6. NPI Profile

BOLSA-WARD MEDICAL CLINIC, INC.
NPI 1093918872
Internal Medicine - Nephrology in Garden Grove, CA

Active since June 07, 2007
13872 HARBOR BLVD, UNIT 1C, GARDEN GROVE, CA 92843(714) 531-5201(714) 775-2849 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bolsa-ward Medical Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLSA-WARD MEDICAL CLINIC, INC. (NPI 1093918872) is a healthcare organization registered as a nephrology in Garden Grove, California and active in the NPI registry since June 2007. The organization lists Phu Van Dang, President, as its authorized official.

NPPES Registry Identity

NPI1093918872
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePHU VAN DANG, MD & PAULINE SUONG THI DANG, MD, A PROF MEDICAL CORP
Location Address13872 HARBOR BLVD, UNIT 1CGarden Grove, CA 92843-4000
Mailing Address13872 Harbor Blvd, Unit 1cGarden Grove, CA 92843-4000 · (714) 531-5201 · Fax (714) 775-2849
Phone(714) 531-5201
Fax(714) 775-2849
Organization SubpartNo
Authorized OfficialPhu Van DangPresident · (714) 531-5201
Enumeration DateJune 7, 2007
Last NPPES UpdateMay 20, 2014
✔ NPI 1093918872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A65421
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License A41591 (CA), A42349 (CA)
13872 HARBOR BLVD, Garden Grove, CA 92843
Open in Google Maps ↗

Other Names 1

Doing Business AsBolsa-ward Medical Clinic, Inc.

Other Identifiers 1

Medicare ID-Type UnspecifiedW13435CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE NGUYEN
Physician Assistant
13872 HARBOR BLVD
GARDEN GROVE, CA 92843
Orange County (714) 210-1300
DR. DAVID DAI DANG M.D.
Internal Medicine (Rheumatology)
13872 HARBOR BLVD, UNIT 1A
GARDEN GROVE, CA 92843
Orange County (714) 210-1300
DR. AN QUOC DANG M.D.
Internal Medicine (Nephrology)
13872 HARBOR BLVD, UNIT 1C
GARDEN GROVE, CA 92843
Orange County (714) 531-5201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phu Van Dang, MD & Pauline Suong Thi Dang, MD, A Prof Medical Corp's NPI number?

The NPI number for Phu Van Dang, MD & Pauline Suong Thi Dang, MD, A Prof Medical Corp is 1093918872. It was assigned to this organization in the NPPES registry on June 7, 2007. The provider is doing business as Bolsa-Ward Medical Clinic, Inc..

Where is Phu Van Dang, MD & Pauline Suong Thi Dang, MD, A Prof Medical Corp located?

Phu Van Dang, MD & Pauline Suong Thi Dang, MD, A Prof Medical Corp is located at 13872 Harbor Blvd Unit 1C, Garden Grove, CA 92843. The listed phone number is (714) 531-5201.

What is Phu Van Dang, MD & Pauline Suong Thi Dang, MD, A Prof Medical Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Phu Van Dang, MD & Pauline Suong Thi Dang, MD, A Prof Medical Corp was last updated on May 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.