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Mrs. MARY CHUNG-NING DUONG PAC

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1386607638
Provider Type
Individual Provider (NPI-1)
Credentials
PAC
Status
Active

Contact & Location

Address
12414 EXPOSITION BLVD, LOS ANGELES, CA, 900641016
Phone
(310) 272-7640
Fax
(310) 272-7656

Specialties & Taxonomies

Clinical Nurse Specialist, Oncology License: CA #PA15424
Physician Assistant Primary License: CA #PA15424

All Addresses

LOCATION

12414 EXPOSITION BLVD

LOS ANGELES, CA, 900641016

(310) 272-7640

MAILING

PO BOX 31309

LOS ANGELES, CA, 900310309

(310) 272-7640