Dong, David K

Dong, David K is an individual health care provider with primary practice located at 12980 Frederick St Ste I , Moreno Valley CA 92553-5263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dong, David K can be contacted via phone (951) 684-8020.

Contact Information

Primary practice address
12980 Frederick St Ste I Moreno Valley CA 92553-5263
Phone: (951) 684-8020
Fax: (951) 684-8090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A92705 California

Profile Details

NPI number 1336155258
LBN Legal business name Dong, David K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Apr 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336155258 NPPES
California MEDICAID 00A927050

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