Provider Demographics
NPI:1073557179
Name:DUONG, VICTORIA DIEM (DC)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:DIEM
Last Name:DUONG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13037 EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1333
Mailing Address - Country:US
Mailing Address - Phone:714-590-1892
Mailing Address - Fax:714-590-1857
Practice Address - Street 1:13037 EUCLID STREET
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843
Practice Address - Country:US
Practice Address - Phone:714-590-1892
Practice Address - Fax:714-590-1857
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28063111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor