Individual
DR. PAUL NHAN-CHINH LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 323-0942
Mailing address
2023 WESTPORT ST, MANTECA, CA 95337-7970
(209) 665-4163
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A109848
CA
390200000X
Student in an Organized Health Care Education/Training Program
257761
NY
390200000X
Student in an Organized Health Care Education/Training Program
A109848
CA
Other
Enumeration date
04/13/2010
Last updated
01/10/2022
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