# DAT N DUONG DO MEDICAL CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710585633
- **Authorized official:** MR. DAT NGUYEN KHANH DUONG DO (PRESIDENT)
- **Authorized official phone:** (586) 604-2929

## Contact information

- **Practice address:** 5451 LA PALMA AVE STE 32, LA PALMA, CA 90623-1731
- **Practice address phone:** (586) 604-2929
- **Practice address fax:** (940) 514-8085
- **Mailing address:** 8610 CAPE CANAVERAL AVE, FOUNTAIN VALLEY, CA 92708-5046
- **Mailing address phone:** (586) 604-2929
- **Mailing address fax:** (940) 514-8085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2020
- **Last updated:** 10/13/2020