| Dat Duong, M.d., Inc. | |
|
13926 Beach Blvd Westminster CA 92683-4037 | |
| (714) 893-1212 | |
| (714) 893-1211 |
| Full Name | Dat Duong, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 13926 Beach Blvd, Westminster, California |
| Authorized Official Name and Position | Dat Quang Duong (CEO) |
| Authorized Official Contact | 7148931212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dat Duong, M.d., Inc. 13926 Beach Blvd Westminster CA 92683-4037 Ph: (714) 893-1212 | Dat Duong, M.d., Inc. 13926 Beach Blvd Westminster CA 92683-4037 Ph: (714) 893-1212 |
| NPI Number | 1437320660 |
|---|---|
| Provider Enumeration Date | 03/16/2008 |
| Last Update Date | 12/31/2020 |
| Medicare PECOS PAC ID | 3274602263 |
|---|---|
| Medicare Enrollment ID | O20080516000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437320660 | NPI | - | NPPES |
| GR0089680 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A77545 (California) | Primary |
| Provider Name | Dat Quang Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689740912 PECOS PAC ID: 7911076906 Enrollment ID: I20080516000219 |
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