NPI | 1174237150 |
---|---|
Other Name | KHANH TAN DUONG MEDICAL OFFICE |
Entity Type | Organization |
Authorized Contact | KHANH TAN DUONG Director 909-255-0199 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-01-13 |
Last Update Date | 2023-01-13 |