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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 O.D., INC.

NPI Number 1700823283
LBN Legal business name JONATHAN DUONG O.D., INC.
Authorized official JONATHAN DUONG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2006
Last updated 01/20/2010 - About 16 years ago
Identifiers
CA License # 11127T
CA Medicaid SD0111270
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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