Individual
DR. DAVID A MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12721 NEWPORT AVE STE 3, TUSTIN, CA 92780-8031
(310) 288-5933
(866) 683-4556
Mailing address
4015 N WALNUTHAVEN DR, COVINA, CA 91722-3927
(310) 288-5933
(866) 683-4556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G73043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3045033
—
CA
01
—
WG73043N
MEDICARE ID-UNSPEC
CA
Enumeration date
03/08/2007
Last updated
04/11/2024
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