Individual provider · Type 1 NPI

Timothy Bang

Pediatric Nurse Practitioner · Orange, CA

NPI number 1629732946 Active · reactivated Mar 28, 2025

Practice location

1201 W La Veta Ave
Orange, CA 92868-4203

Mailing address

47 Plateau
Aliso Viejo, CA 92656-8027

Other practice locations

  • 47 Plateau, Aliso Viejo, CA 92656-8027 · (949) 310-8241

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN95132765 (CA)
Pediatric Nurse Practitioner Primary 363LP0200X95032634 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1629732946

Timothy Bang's National Provider Identifier is 1629732946, issued on Oct 22, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Orange, CA. The record was last updated on Mar 28, 2025.