Organization
KD ENTERPRISE HOLDINGS
Active
Other names
KD PODIATRY GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH TUAN DUONG DPM (PRESIDENT)
(714) 697-9939
Entity
Organization
Contact information
Practice address
13701 BEACH BLVD, A1, WESTMINSTER, CA 92683-5347
(714) 414-5092
Mailing address
13701 BEACH BLVD, A1, WESTMINSTER, CA 92683-3203
(714) 414-5092
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E4237
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E4494
CA
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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