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Contact Information

TIMOTHY BANG
1201 W LA VETA AVE
ORANGE, CA92868-4203
 Phone: 714-997-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for TIMOTHY BANG · (Male)

NPI Number 1629732946
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2021
Last updated 03/28/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 95032634
  • CA License # RN95132765
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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