1649299702 NPI number — DR. CHRISTINE ANH THU DUONG MD

Table of content: DR. CHRISTINE ANH THU DUONG MD (NPI 1649299702)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649299702 NPI number — DR. CHRISTINE ANH THU DUONG MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUONG
Provider First Name:
CHRISTINE
Provider Middle Name:
ANH THU
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649299702
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/29/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11370 ANDERSON ST
Provider Second Line Business Mailing Address:
SUITE 3615
Provider Business Mailing Address City Name:
LOMA LINDA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92354-3450
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-558-2481
Provider Business Mailing Address Fax Number:
909-558-2608

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 MAGNOLIA AVE
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
CORONA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92879-3123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-817-8820
Provider Business Practice Location Address Fax Number:
951-817-8856
Provider Enumeration Date:
07/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  A83806 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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