Organization
DAT N DUONG DO MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAT NGUYEN KHANH DUONG DO (PRESIDENT)
(586) 604-2929
Entity
Organization
Contact information
Practice address
5451 LA PALMA AVE STE 32, LA PALMA, CA 90623-1731
(586) 604-2929
(940) 514-8085
Mailing address
8610 CAPE CANAVERAL AVE, FOUNTAIN VALLEY, CA 92708-5046
(586) 604-2929
(940) 514-8085
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
938594
—
CA
Enumeration date
10/13/2020
Last updated
10/13/2020
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