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NPI Code Detail

MEDICARE: DUSTIN TENG

MEDICARE: DUSTIN TENG
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1609627298
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUSTIN TENG
Provider Business Mailing Address
First Line : 11287 WASHINGTON BLVD
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-4615
Country : US
Telephone Number : 310-569-0835
Fax Number : 714-327-0673
Provider Business Practice Location Address
First Line : 11287 WASHINGTON BLVD
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-4615
Country : US
Telephone Number : 714-881-0427
Fax Number : 714-327-0673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2024
Last Update Date : 08/11/2025

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Directions to “ DUSTIN TENG ” Practice Location

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