| Khanh Tan Duong Md Pc | |
|
9635 Monte Vista Ave Ste 208 Montclair CA 91763-2235 | |
| (909) 255-0199 | |
| (216) 208-1435 |
| Full Name | Khanh Tan Duong Md Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9635 Monte Vista Ave Ste 208, Montclair, California |
| Authorized Official Name and Position | Khanh Tan Duong (DIRECTOR) |
| Authorized Official Contact | 9092550199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khanh Tan Duong Md Pc 9635 Monte Vista Ave Ste 208 Montclair CA 91763-2235 Ph: (909) 255-0199 | Khanh Tan Duong Md Pc 9635 Monte Vista Ave Ste 208 Montclair CA 91763-2235 Ph: (909) 255-0199 |
| NPI Number | 1174237150 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174237150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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