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Organization

JONATHAN DUONG O.D., INC.

Active
Other names
Laguna Coast Optometry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN DUONG O.D. (PRESIDENT)
(949) 715-2499
Entity
Organization

Contact information

Practice address
303 BROADWAY ST, SUITE 105, LAGUNA BEACH, CA 92651-1816
(949) 715-2499
(949) 715-2493
Mailing address
303 BROADWAY ST, SUITE 105, LAGUNA BEACH, CA 92651-1816
(949) 715-2499
(949) 715-2493

Taxonomy

Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
11127T
CA
152WV0400X
Vision Therapy Optometrist
Primary
11127T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0111270
CA
Enumeration date
06/01/2006
Last updated
01/20/2010
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