LY THANH DUONG NP NPI 1497261614

NPI Information

NPI: 1497261614
Provider Name: LY THANH DUONG, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3660 PARK SIERRA DR
RIVERSIDE, CA
ZIP 92505
Phone: (951) 637-2100
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Ly Thanh Duong, NP is a family nurse practitioner in Riverside, CA. Ly Thanh Duong, NP NPI is 1497261614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3660 PARK SIERRA DR
RIVERSIDE, CA
ZIP 92505-081
Phone: (951) 637-2100

The enumeration date for this NPI number is 12/26/2017 and was last updated on 12/26/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95007415	CALIFORNIA	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	95007415	CALIFORNIA	No

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

NPI Synchronization or Removal

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