Du, Dai Vien

Du, Dai Vien is an individual health care provider with primary practice located at 7000 Boulder Ave , Highland CA 92346-3348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Du, Dai Vien can be contacted via phone (909) 862-1191.

Contact Information

Primary practice address
7000 Boulder Ave Highland CA 92346-3348
Phone: (909) 862-1191
Fax: (909) 862-1348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A69210 California

Profile Details

NPI number 1962440750
LBN Legal business name Du, Dai Vien
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jun 8th, 2015 - about 9 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 1962440750 NPPES
California MEDICAID 00A692102

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