Individual
THANH DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9555 CHESAPEAKE DR, SAN DIEGO, CA 92123-6301
(760) 613-4395
Mailing address
PO BOX 85344, SAN DIEGO, CA 92186-5344
(760) 613-4395
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G80463
CA
Other
Enumeration date
05/07/2012
Last updated
05/11/2012
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