MEDICARE: DAVID A DUARTE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0127X	Trauma Surgery Physician	G60225	CA
2	208600000X	Surgery Physician	G60225	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497773519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A DUARTE MD

Provider Business Mailing Address
First Line	:	14071 PEYTON DR UNIT 2023
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-7189
Country	:	US
Telephone Number	:	562-413-8824
Fax Number	:	909-680-3197

Provider Business Practice Location Address
First Line	:	1513 S GRAND AVE STE 300
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-3075
Country	:	US
Telephone Number	:	562-413-8824
Fax Number	:	909-680-3197

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	08/14/2023

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Directions to “ DAVID A DUARTE MD” Practice Location

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