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Organization

CALVIN M. DUONG MEDICAL GROUP

Active
Other names
DBA, THE VITALITY HEALTH CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CALVIN M DUONG MD (PRESIDENT)
(310) 396-3635
Entity
Organization

Contact information

Practice address
318 LINCOLN BLVD, SUITE 225, VENICE, CA 90291-2827
(310) 396-3635
Mailing address
318 LINCOLN BLVD, SUITE 225, VENICE, CA 90291-2827
(310) 396-3635

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
25498
CA
207R00000X
Internal Medicine Physician
Primary
A91752
CA

Other

Enumeration date
04/02/2009
Last updated
04/02/2009
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