Provider Demographics
NPI:1336136951
Name:DO, DUC H (MD)
Entity Type:Individual
Prefix:DR
First Name:DUC
Middle Name:H
Last Name:DO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:520 SUPERIOR AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3642
Mailing Address - Country:US
Mailing Address - Phone:949-574-4114
Mailing Address - Fax:949-574-4144
Practice Address - Street 1:355 PLACENTIA AVE STE 207A
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3302
Practice Address - Country:US
Practice Address - Phone:949-574-4114
Practice Address - Fax:949-574-4144
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2019-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA70134207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA70134COtherPPIN
CAH92812Medicare UPIN
CAW18901Medicare ID - Type Unspecified