Kien-an Duong, MD
Individual provider Active NPI Internal Medicine Physician · Laguna Woods, CA
NPI 1033175658 · NPPES record last updated Jan 31, 2025
Key facts
- NPI
- 1033175658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A94108 (CA)
- Practice address
- 24268 El Toro Road
Laguna Woods, CA 92637 - Phone
- (657) 241-8455
- Fax
- (657) 295-2116
- NPI assigned
- Apr 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- New York Medical College, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Memorialcare Medical Foundation
Practice addresses (Care Compare)
24268 El Toro Rd
Laguna Woods, CA 92637-3435
Phone (657) 241-8455
Hospital & facility affiliations
- Memorialcare Orange Coast Medical Center
- Memorialcare Saddleback Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060810000594 | CA | Practitioner - Internal Medicine | 5890798854 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94108 | CA | MD | Internal Medicine Physician |
| 236804 | NY | MD | Pediatrics Physician |
Practice roles (9 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorialcare Medical Foundation | Internal Medicine | Current |
Accepting new patients |
| Saddleback Memorial Medical Center | Past | Accepting new patients | |
| Bristol Park Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Children'S Hospital at Mission | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
11420 Warner Ave
Fountain Vly, CA 92708
Phone (714) 549-1300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
24268 El Toro Rd
Laguna Woods, CA 92637
Phone (657) 241-8455
2742 Dow Ave
Tustin, CA 92780
Phone (714) 665-1600
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kduong77203@direct.memorialcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A94108 | CA | Yes |
| Pediatrics Physician | 208000000X | 236804 | NY |
Addresses
Primary practice location
24268 El Toro Road
Laguna Woods, CA 92637
Mailing address
24268 El Toro Rd.
Laguna Woods, CA 92637
Phone (657) 241-8455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A941080 | Medicaid | CA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://memorialcare.org/fhir/api/FHIR/R4/ | Health Information Exchange (HIE) | MemorialCare Medical Foundation |
Other providers in Laguna Woods, CA
- Lyndsay T Defilippo
- Ali Dehbozorgi
- Del Mar Hearing Aid Assoc., Inc
- Kimberly Ai Diep
- Drugxperts Pharmacy Laguna Woods Inc
- William Nguyen Duong
- Naidia Estes
- Pearl Evelo
- Eyedoctor Optometry Laguna Woods Inc
- Nazee Farsi
All providers in Laguna Woods, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.