Individual
MS. TRACI DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W STEWART DR, ORANGE, CA 92868-3849
(714) 771-8000
Mailing address
1010 W LA VETA AVE STE 360, ORANGE, CA 92868-4303
(510) 465-8986
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PA62770
CA
Other
Enumeration date
08/30/2022
Last updated
07/26/2023
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