Individual
CHRISTINE PHAM DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5549 VAN BUREN BLVD, RIVERSIDE, CA 92503-2068
(951) 324-5901
(877) 778-9472
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4317
(951) 324-5901
(877) 778-9472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004664
CA
363LA2200X
Adult Health Nurse Practitioner
95004664
CA
363LF0000X
Family Nurse Practitioner
95004664
CA
363LG0600X
Gerontology Nurse Practitioner
95004664
CA
363LP2300X
Primary Care Nurse Practitioner
95004664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01799521-DU4034
RAILROAD MEDICARE
CA
Enumeration date
12/12/2016
Last updated
04/20/2017
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