Provider Demographics
NPI:1578979266
Name:OANH THE DUONG, M.D.
Entity Type:Organization
Organization Name:OANH THE DUONG, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR DUONG
Authorized Official - Prefix:DR
Authorized Official - First Name:OANH
Authorized Official - Middle Name:THE
Authorized Official - Last Name:DUONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-371-8964
Mailing Address - Street 1:45955 SENTINEL PL.
Mailing Address - Street 2:NONE
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539
Mailing Address - Country:US
Mailing Address - Phone:510-371-8964
Mailing Address - Fax:
Practice Address - Street 1:45955 SENTINEL PL
Practice Address - Street 2:NONE
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-6950
Practice Address - Country:US
Practice Address - Phone:510-371-8964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAFE33862261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care