Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A127187 | CA |
Y | 2080P0214X | Pediatric Pulmonologist | A127187 | CA |
NPI | 1326309881 |
---|---|
Provider Name | Dr. Thu Anh Duong |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2012 |
Last Update Date | 12/06/2018 |