Duong, Jonathan
Duong, Jonathan is an individual health care provider with primary practice located at 1711 W Temple St Ste 7136, Los Angeles CA 90026-7336. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is his primary health care specialty. Duong, Jonathan can be contacted via phone (213) 663-2150.Contact Information
Primary practice address
1711 W Temple St Ste 7136
Los Angeles CA 90026-7336
Phone: (213) 663-2150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 11127T | California |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 11127T | California |
Profile Details
| NPI number | 1366484115 |
|---|---|
| LBN Legal business name | Duong, Jonathan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Nov 17th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366484115 | NPPES |
| California | MEDICAID | SD0111270 |
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