Provider Demographics
NPI:1649299702
Name:DUONG, CHRISTINE ANH THU (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANH THU
Last Name:DUONG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:11370 ANDERSON ST
Mailing Address - Street 2:SUITE 3615
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3450
Mailing Address - Country:US
Mailing Address - Phone:909-558-2481
Mailing Address - Fax:909-558-2608
Practice Address - Street 1:800 MAGNOLIA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-3123
Practice Address - Country:US
Practice Address - Phone:951-817-8820
Practice Address - Fax:951-817-8856
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-11-29
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Provider Licenses
StateLicense IDTaxonomies
CAA83806207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH93902Medicare UPIN