Organization Name: | TRUONG & DUONG MEDICAL CORP. |
NPI Number: | 1457381659 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TUAN KHANH DUONG (CEO) |
Mailing Address: | 1085 N Harbor Blvd Anaheim |
State: | CA US |
Postal Code: | 928012417 |
Phone Number: | 7147768579 |
Fax Number: | 7147761836 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | W19043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |