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Individual

ANDY DONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
127 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-3311
(310) 423-3851
Mailing address
127 S SAN VICENTE BLVD, AHSP, ROOM A3120, LOS ANGELES, CA 90048

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/01/2021
Last updated
01/04/2023
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