| Paul T. Duong, M.d., Inc | |
|
9433 Bolsa Ave Suite # A Westminster CA 92683-5964 | |
| (714) 839-7332 | |
| Not Available |
| Full Name | Paul T. Duong, M.d., Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9433 Bolsa Ave, Westminster, California |
| Authorized Official Name and Position | Paul T. Duong (PRESIDENT) |
| Authorized Official Contact | 7148397332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul T. Duong, M.d., Inc 9433 Bolsa Ave Suite #a Westminster CA 92683-5964 Ph: (714) 839-7332 | Paul T. Duong, M.d., Inc 9433 Bolsa Ave Suite # A Westminster CA 92683-5964 Ph: (714) 839-7332 |
| NPI Number | 1225372063 |
|---|---|
| Provider Enumeration Date | 11/17/2012 |
| Last Update Date | 11/17/2012 |
| Medicare PECOS PAC ID | 6901881846 |
|---|---|
| Medicare Enrollment ID | O20121121000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225372063 | NPI | - | NPPES |
| 00G663251 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G66325 (California) | Primary |
| Provider Name | Paul T Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023181658 PECOS PAC ID: 5294710125 Enrollment ID: I20040623000918 |
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