Individual ProviderKim-Phuong Thi DangObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address700 W Parr Ave Ste I, Los Gatos, CA 95032-1416(408) 370-3100PECOS EnrollmentBased on the most recent information from CMS, provider Kim-Phuong Thi Dang does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:51 AM.Profile DetailsProvider ID1578676250Provider TypeIndividualFull NameDang, Kim-Phuong ThiCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date8/16/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address700 W Parr Ave Ste I, Los Gatos, CA 95032-1416Phone(408) 370-3100Fax(408) 370-3790Mailing LocationMailing Address700 W Parr Ave Ste I, Los Gatos, CA 95032-1416Phone(408) 370-3100Fax(408) 370-3790Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseA067276California