| Leduc Medical Group, Inc. | |
|
11160 Warner Ave Suite 101 Fountain Valley CA 92708-4010 | |
| (714) 540-0105 | |
| (714) 540-6727 |
| Full Name | Leduc Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 11160 Warner Ave, Fountain Valley, California |
| Authorized Official Name and Position | Stuart Chung (ADMINISTRATOR) |
| Authorized Official Contact | 7145400105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leduc Medical Group, Inc. 11160 Warner Ave Suite 101 Fountain Valley CA 92708-4010 Ph: (714) 540-0105 | Leduc Medical Group, Inc. 11160 Warner Ave Suite 101 Fountain Valley CA 92708-4010 Ph: (714) 540-0105 |
| NPI Number | 1073692406 |
|---|---|
| Provider Enumeration Date | 11/05/2006 |
| Last Update Date | 08/06/2013 |
| Medicare PECOS PAC ID | 0244497071 |
|---|---|
| Medicare Enrollment ID | O20120207000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073692406 | NPI | - | NPPES |
| Provider Name | Truong-sinh Leduc |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457430886 PECOS PAC ID: 3678662764 Enrollment ID: I20090622000304 |
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