Organization
KUONG NGANN DO CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUONG NGANN DO (PRESIDENT)
(831) 755-4196
Entity
Organization
Contact information
Practice address
1441 CONSTITUTION BLVD, SALINAS, CA 93906-3100
(831) 755-4111
(626) 403-0321
Mailing address
35 E GLENARM ST, PASADENA, CA 91105-3418
(626) 768-4415
(626) 403-0321
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A12099
CA LICENSE
CA
Enumeration date
06/13/2019
Last updated
06/13/2019
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