NPI Code Details Logo

NPI 1801789573

NPI 1801789573 : MEGAN DUONG DPT : REDWOOD CITY, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1801789573
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MEGAN DUONG DPT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/02/2025
-----------------------------------------------------
    Last Update Date     |    06/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    268 REDWOOD SHORES PKWY 
-----------------------------------------------------
    City                 |    REDWOOD CITY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94065-1172
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    650-591-9581
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    11362 JERRY LN 
-----------------------------------------------------
    City                 |    GARDEN GROVE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92840-3448
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    714-728-0199
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    305178
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.