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 2 days ago.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