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LAI TRAN PRATSKA DUONG MED CORP NPI 1467515858


NPI Information

NPI: 1467515858
Provider Name: LAI TRAN PRATSKA DUONG MED CORP
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
13071 BROOKHURST ST STE 197B
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 534-2636
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LAI TRAN PRATSKA DUONG MED CORP is a primary podiatric medicine podiatrist in Garden Grove, CA. LAI TRAN PRATSKA DUONG MED CORP NPI is 1467515858. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13071 BROOKHURST ST STE 197B
GARDEN GROVE, CA
ZIP 92843-500
Phone: (714) 534-2636
Fax: (714) 534-2630

The provider's authorized official is Khanh Duong .
The authorized official title is Director and has the following contact phone number (714) 697-9939.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric MedicineE4237CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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