KHANH TAN DUONG MD PC NPI 1174237150

NPI Information

NPI: 1174237150
Provider Name: KHANH TAN DUONG MD PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
9635 MONTE VISTA AVE STE 208
MONTCLAIR, CA
ZIP 91763
Phone: (909) 255-0199
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KHANH TAN DUONG MD PC is a primary care clinic center in Montclair, CA. KHANH TAN DUONG MD PC NPI is 1174237150. The provider is registered as an organization entity type.

The provider's business location address is:

9635 MONTE VISTA AVE STE 208
MONTCLAIR, CA
ZIP 91763-235
Phone: (909) 255-0199
Fax: (216) 208-1435

The provider's authorized official is Khanh Tan Duong .
The authorized official title is Director and has the following contact phone number (909) 255-0199.

The enumeration date for this NPI number is 1/13/2023 and was last updated on 1/13/2023.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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