| L.t. Duong, M.d., Inc. | |
|
2708 Westminster Ave Ste 110 Santa Ana CA 92706-2192 | |
| (714) 554-7350 | |
| (714) 554-7481 |
| Full Name | L.t. Duong, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2708 Westminster Ave Ste 110, Santa Ana, California |
| Authorized Official Name and Position | Long Thanh Duong (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7145547350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L.t. Duong, M.d., Inc. 2708 Westminster Ave Ste 110 Santa Ana CA 92706-2192 Ph: (714) 554-7350 | L.t. Duong, M.d., Inc. 2708 Westminster Ave Ste 110 Santa Ana CA 92706-2192 Ph: (714) 554-7350 |
| NPI Number | 1467762294 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 4587847645 |
|---|---|
| Medicare Enrollment ID | O20110328000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467762294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A74045 (California) | Primary |
| Provider Name | Long Nguyen Thanh Duong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538257241 PECOS PAC ID: 2860423191 Enrollment ID: I20050826000346 |
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