Individual
DR. JONATHAN DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1711 W TEMPLE ST, STE 7136, LOS ANGELES, CA 90026-7336
(213) 663-2150
Mailing address
1711 W TEMPLE ST, STE 7136, LOS ANGELES, CA 90026-7336
(213) 663-2150
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
11127T
CA
152WV0400X
Vision Therapy Optometrist
Primary
11127T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0111270
—
CA
Enumeration date
06/12/2006
Last updated
11/17/2021
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