Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A65006 | CA |
N | 207VG0400X | Gynecologist | 48892 | GA |
NPI | 1437181369 |
---|---|
Provider Name | Dr. Thinh H. Duong |
First Address | Los Angeles, CA 90033-2464 |
Second Address | Los Angeles, CA 90033-2464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 16/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H15612 | (02) | GA |