Provider Demographics
NPI:1477574200
Name:DO, CUONG-DUNG TRONG (MD)
Entity Type:Individual
Prefix:
First Name:CUONG-DUNG
Middle Name:TRONG
Last Name:DO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9061 BOLSA AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5558
Mailing Address - Country:US
Mailing Address - Phone:714-899-5670
Mailing Address - Fax:714-899-5558
Practice Address - Street 1:9061 BOLSA AVE STE 105
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5558
Practice Address - Country:US
Practice Address - Phone:714-899-5670
Practice Address - Fax:714-899-5558
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG83887207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology