Individual
PAUL L DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLZ, SUITE B265, LOS ANGELES, CA 90095-0001
(310) 825-9771
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-9771
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A052717
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A527170
BLUE SHIELD OF CA
CA
01
—
1790750768
MEDI-CAL
CA
01
—
1881133
CIGNA
CA
01
—
7372003
AETNA
CA
01
—
P01520902
RAILROAD MEDICARE
CA
Enumeration date
02/22/2006
Last updated
12/21/2015
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