Provider Demographics
NPI:1154660710
Name:CHAU, DUONGTHUY (MD, DC)
Entity Type:Individual
Prefix:DR
First Name:DUONGTHUY
Middle Name:
Last Name:CHAU
Suffix:
Gender:F
Credentials:MD, DC
Other - Prefix:
Other - First Name:NANCY-DUONG
Other - Middle Name:
Other - Last Name:CHAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,DC
Mailing Address - Street 1:1651 E 4TH ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-5164
Mailing Address - Country:US
Mailing Address - Phone:714-403-5021
Mailing Address - Fax:714-962-6432
Practice Address - Street 1:1135 SUNSET AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790
Practice Address - Country:US
Practice Address - Phone:626-732-8390
Practice Address - Fax:714-962-6432
Is Sole Proprietor?:No
Enumeration Date:2013-02-01
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32458111N00000X
CA9931390200000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No111N00000XChiropractic ProvidersChiropractor