| 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 |