Organization
LAI TRAN PRATSKA DUONG MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH DUONG D.P.M. (DIRECTOR)
(714) 697-9939
Entity
Organization
Contact information
Practice address
13071 BROOKHURST ST STE 197B, GARDEN GROVE, CA 92843-5500
(714) 534-2636
(714) 534-2630
Mailing address
12541 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-4858
(714) 537-9787
(714) 537-9700
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E4237
CA
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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