Provider Demographics
NPI:1982880928
Name:DUONG, SON (MD)
Entity Type:Individual
Prefix:DR
First Name:SON
Middle Name:
Last Name:DUONG
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:11190 WARNER AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4019
Mailing Address - Country:US
Mailing Address - Phone:714-430-1414
Mailing Address - Fax:714-430-1486
Practice Address - Street 1:11190 WARNER AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4019
Practice Address - Country:US
Practice Address - Phone:714-430-1414
Practice Address - Fax:714-430-1486
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-19
Last Update Date:2009-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA739962086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery