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NPI Code Detail

MEDICARE: QUOC DUONG

MEDICARE: QUOC DUONG
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
1183500000XPharmacist79071CA

General Provider Information

NPI Number : 1710449954
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUOC DUONG
Provider Business Mailing Address
First Line : 6830 WESTPARK PL APT A
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-3083
Country : US
Telephone Number : 714-655-8696
Fax Number :
Provider Business Practice Location Address
First Line : 3710 TWEEDY BLVD
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-6046
Country : US
Telephone Number : 323-249-9944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2019
Last Update Date : 04/05/2019

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Directions to “ QUOC DUONG ” Practice Location

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