Healthcare Provider Details

I. General information

NPI: 1669562534
Provider Name (Legal Business Name): JAMES D DUONG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11301 WILSHIRE BLVD BLDG 500, ROOM 0204
LOS ANGELES CA
90073-1003
US

IV. Provider business mailing address

23154 VALERIO ST
WEST HILLS CA
91307-1901
US

V. Phone/Fax

Practice location:
  • Phone: 310-268-3244
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11778
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number35407
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: