Healthcare Provider Details

I. General information

NPI: 1427490465
Provider Name (Legal Business Name): DANNY DU D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2013
Last Update Date: 06/29/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18232 GALE AVE
CITY OF INDUSTRY CA
91748-1242
US

IV. Provider business mailing address

2776 E WICKFORD ST
ONTARIO CA
91762-7205
US

V. Phone/Fax

Practice location:
  • Phone: 626-221-9202
  • Fax:
Mailing address:
  • Phone: 626-221-9202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC32678
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC19143
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: