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Organization
BAY AREA REHAB & MEDICAL
Active
Organization
BAY AREA REHAB & MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY DUONG DC (OWNER)
(510) 299-3695
Entity
Organization
Contact information
Practice address
34261 FREMONT BLVD, FREMONT, CA 94555-3300
(510) 818-1668
(510) 796-1269
Mailing address
34261 FREMONT BLVD, FREMONT, CA 94555-3300
(510) 818-1668
(510) 796-1269
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/23/2022
Last updated
01/21/2025
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