Vira Duong
Rehabilitation Practitioner in Long Beach, CA. Individual provider (NPI-1).
NPI number1083781496
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1083781496
- Entity type
- Individual (NPI-1)
- Name
- Mr. Vira Duong
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
1975 Long Beach Blvd Fl 2Long Beach, CA 90806-5501
Phone 562-599-9401 · Fax 562-218-0402
Mailing address
1975 Long Beach Blvd Fl 2Long Beach, CA 90806-5501
Phone 562-599-9401 · Fax 562-218-0402
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