Duong, Khanh Tan
Duong, Khanh Tan is an individual health care provider with primary practice located at 9635 Monte Vista Ave Ste 208 , Montclair CA 91763-2235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Duong, Khanh Tan can be contacted via phone (909) 255-0199.Contact Information
Primary practice address
9635 Monte Vista Ave Ste 208
Montclair CA 91763-2235
Phone: (909) 255-0199
Fax: (216) 208-1435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | BP10064981 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A174153 | California |
Profile Details
| NPI number | 1225528466 |
|---|---|
| LBN Legal business name | Duong, Khanh Tan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2018 |
| Last updated | Feb 25th, 2022 - 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.
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