Organization
HARBOR NEUROLOGICAL GROUP
Active
Organization
HARBOR NEUROLOGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHAN DUONG DPM (PODIATRIST)
(714) 705-0737
Entity
Organization
Contact information
Practice address
13701 BEACH BLVD, SUITE A1, WESTMINSTER, CA 92683-3203
(714) 705-0737
(310) 388-5802
Mailing address
21039 FIGUEROA ST, SUITE 201, CARSON, CA 90745-1972
(714) 705-0737
(310) 618-6989
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
A64097
CA
2084N0400X
Neurology Physician
Primary
A86632
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
E4237
CA
Other
Enumeration date
10/13/2014
Last updated
09/08/2015
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