DOLLY LUONG


Address: 1800 N California St, Stockton, CA 95204-6019
Phone: 2094676436

DOLLY LUONG (NPI# 1992082903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992082903
Entity Type Individual
Full Name DOLLY LUONG
Credential N.P.
Practice Address 1800 N California St
Stockton
CA 95204-6019
Mailing Address 2333w March Ln A1
Stockton
CA 95207-5263
Practice Telephone 2094676436
Mailing Telephone 2094758144
Mailing Fax Number 2094747679
Enumeration Date 2011-11-04
Last Update Date 2015-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
20943 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1800 N CALIFORNIA ST
City STOCKTON
State CA
Zip Code 95204-6019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619974219 St. Joseph's Surgery Center Lp Clinic/Center 1800 N California St, Ste 1, Stockton, CA 95204-6019 2005-06-28
1679174940 Simon Yeung Pharmacist 1800 N California St, Stockton, CA 95204-6019 2020-11-04
1275140584 Rajwinder K Gill Registered Nurse 1800 N California St, Stockton, CA 95204-6019 2020-09-30
1447865787 Rinky Saini Prasad Registered Nurse 1800 N California St, Stockton, CA 95204-6019 2020-09-14
1821609611 Dustin Tien Le Pharmacist 1800 N California St, Stockton, CA 95204-6019 2020-08-14
1013534254 Nancy Thi Nguyen Speech-Language Pathologist 1800 N California St, Stockton, CA 95204-6019 2020-07-04
1861015646 Sana Mohyud Din Chaudhary Student in an Organized Health Care Education/Training Program 1800 N California St, Stockton, CA 95204-6019 2020-05-27
1942822184 Kenneth Jerome Hainsworth Student in an Organized Health Care Education/Training Program 1800 N California St, Stockton, CA 95204-6019 2020-05-11
1083236368 Chase Rogers Student in an Organized Health Care Education/Training Program 1800 N California St, Stockton, CA 95204-6019 2020-05-10
1093336919 Joel Rabara Respiratory Therapist, Registered 1800 N California St, Stockton, CA 95204-6019 2020-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962027524 Kariem Abdelwahed Licensed Vocational Nurse 1630 N. Edison St Stockton Ca, Stockton, CA 95204 2020-06-10
1831730555 Ronnie C Murray Counselor 1947 North California Street, Stockton, CA 95204 2019-10-03
1235614116 Michelle Ann Horn Marriage & Family Therapist 3666 Mission Rd, Stockton, CA 95204 2018-09-26
1356830947 Stockton Pace PACE Provider Organization 582 E. Harding Way, Stockton, CA 95204 2018-05-09
1790228781 Rebecca Phongsa Counselor 1947 North Calfornia Street, Suite B, Stockton, CA 95204 2016-11-23
1700332905 Serim Kang Driver 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 2016-08-28
1033565544 Philip John Brereton Orthotist 466 E Harding Way, Stockton, CA 95204 2016-05-13
1932507522 David Grayson Counselor 1621 Brookside Rd, Stockton, CA 95204 2014-12-12
1174934897 Gurtej Malhi Internal Medicine 1901 N California Street, Stockton, CA 95204 2014-05-15
1396156170 Rajesh Saini Nurse Practitioner 1805 N California St. Suite 102, Stockton, CA 95204 2014-05-14
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1164653960 Janet Patricia Mcmahon Nurse Practitioner 63 Britton Rd, Stockton, NJ 08559-1007 2009-07-28

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1851990550 Fernanda Monteon Ibarra Nurse Practitioner 30222 Belmont Ct, Agoura Hills, CA 91301-4611 2020-10-22
1780283168 Brenda Rienru Rhima Nurse Practitioner 24657 Rockston Dr, Corona, CA 92883-1614 2020-10-18
1215535034 Shiji John Nurse Practitioner 3765 Gunnison Cir, Corona, CA 92881-8486 2020-10-14
1053919258 Lacey Etienne Neufeld Nurse Practitioner Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 2020-10-12
1063028298 Kanokwan Kultan Nurse Practitioner 15850 Babcock St, San Diego, CA 92127-3680 2020-09-22
1538775093 David Lee Nurse Practitioner 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 2020-09-21
1124634886 Catherine Kestenian Nurse Practitioner 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 2020-09-18
1285249565 Anu Tharoor Nurse Practitioner 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 2020-09-13
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Competitor

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City STOCKTON
Zip Code 95204

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Dataset Information

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.

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