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Contact Information

JONATHAN DUONG O.D., INC.
303 BROADWAY ST
SUITE 105
LAGUNA BEACH, CA92651-1816
 Phone: 949-715-2499
 Fax: 949-715-2493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vision Therapy

152WV0400X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for JONATHAN DUONG OD INC · (Female)

NPI # 1700823283
Status Active
Credentials
Entity Individual
Enumeration date 06/01/2006
Last updated 01/20/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 11127T
  • CA Medicaid SD0111270
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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