| Man C Duong Md A Professional Corporation | |
|
423 E 2nd St Calexico CA 92231-2846 | |
| (760) 890-5432 | |
| (877) 409-2620 |
| Full Name | Man C Duong Md A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 423 E 2nd St, Calexico, California |
| Authorized Official Name and Position | Man Cong Duong (PRESIDENT) |
| Authorized Official Contact | 2792973417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Man C Duong Md A Professional Corporation 423 E 2nd St Calexico CA 92231-2846 Ph: (279) 297-3417 | Man C Duong Md A Professional Corporation 423 E 2nd St Calexico CA 92231-2846 Ph: (760) 890-5432 |
| NPI Number | 1134563976 |
|---|---|
| Provider Enumeration Date | 04/23/2013 |
| Last Update Date | 03/20/2024 |
| Medicare PECOS PAC ID | 3678711082 |
|---|---|
| Medicare Enrollment ID | O20130524000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134563976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A105702 (California) | Primary |
| Provider Name | Man C Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679718399 PECOS PAC ID: 4981755832 Enrollment ID: I20090706000499 |
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