CHRISTOPHER C DUONG (NPI# 1831659945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831659945 |
Entity Type | Individual |
Full Name | CHRISTOPHER C DUONG |
Credential | MD |
Practice Address |
2114 Pullman Ln # B Redondo Beach CA 90278-4914 |
Practice Telephone | 3102793790 |
Enumeration Date | 2019-03-24 |
Last Update Date | 2019-05-22 |
NPI Deactivation Date | 05/15/2019 |
NPI Reactivation Date | 2019-05-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 173000000X | Legal Medicine | Other Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023264124 | Christopher Kim Duong | Dentist | 303 Kansas St Apt C, El Segundo, CA 90245-4464 | 2008-08-08 |
1033586532 | Christopher Duong | Nurse Practitioner | 32018 23rd Ave S, Federal Way, WA 98003-6022 | 2015-08-31 |
Street Address |
2114 PULLMAN LN # B |
City | REDONDO BEACH |
State | CA |
Zip Code | 90278-4914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194354233 | Bobby Kou | Occupational Therapist | 2012 Mathews Ave #b, Redondo Beach, CA 90278 | 2020-04-01 |
1053827329 | Bright Day Therapy Center Inc | Occupational Therapist | 2602 Nelson Ave, Redondo Beach, CA 90278 | 2017-12-21 |
1902147978 | Nancy A Livingston | Nurse Practitioner | 100 Medical Plaza Suite 630 East, Los Angeles, CA 90278 | 2013-03-15 |
1437460599 | Su Jin Feuer | Social Worker | 2113 Vanderbilt Ln Unit C, Redondo Beach, CA 90278 | 2010-06-23 |
1477711372 | Sormeh Rastegar Panah | Dentist | 2731 Manhattan Beach Blvd, Redondo Beach, CA 90278 | 2008-05-28 |
1124244348 | James A Nguyen Dds A Dental Corp | Dentist | 1738 Aviation Blvd., Redondo Beach, CA 90278 | 2007-04-17 |
1730233628 | Kenneth D Ochi | Dentist | 1444 Aviation Blvd, Suite # 201, Redondo Beach, CA 90278 | 2007-01-22 |
1609935675 | Allen Joseph Selner | Podiatrist | 2850 Artesia Boulevard, Suite 204, Redondo Beach, CA 90278 | 2006-12-06 |
1184794430 | Reza Khaghani | General Practice | 1959 Kingsdale Avenue, Rodondo Beach, CA 90278 | 2006-11-08 |
1932291473 | Mathew James Deville | Chiropractor | 1981 Artesia Blvd, Redondo Beach, CA 90278 | 2006-09-29 |
Find all providers in zip 90278 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376041657 | Kayla Yanke | Student in an Organized Health Care Education/Training Program | 435 Calle De Castellana, Redondo Beach, CA 90277-6727 | 2018-02-01 |
1700317401 | Prashant Charugundla | Student in an Organized Health Care Education/Training Program | 2310 Ruhland Ave # A, Redondo Beach, CA 90278-2502 | 2017-03-23 |
1861854523 | James Uh | Student in an Organized Health Care Education/Training Program | 348 Avenida Atezada, Redondo Beach, CA 90277-6722 | 2016-03-22 |
1376790006 | Olga L Delgado | Student in an Organized Health Care Education/Training Program | 2304 Pullman Ln, Redondo Beach, CA 90278-5134 | 2008-08-25 |
1598936106 | Muhammad Omar Abou-harb | Student in an Organized Health Care Education/Training Program | 3400 Dow Ave, Redondo Beach, CA 90278-1511 | 2008-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
Find all providers with the same taxonomy |
City | REDONDO BEACH |
Zip Code | 90278 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.