Calvin M. Duong Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A91752 Issued in CA

Legal business name

CALVIN M. DUONG MEDICAL GROUP

Doing business as

Dba, the Vitality Health Center

Practice address

318 Lincoln Blvd
Suite 225
Venice, CA 90291-2827

Phone

(310) 396-3635

NPI assigned

Apr 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Calvin M Duong, MD

Title

President

Phone

(310) 396-3635

Specialties & licenses 2

Addresses

Other names 1

• DBA, THE VITALITY HEALTH CENTER Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yariv E Rothman, DC

  • Chiropractor
  • Santa Monica, CA
  • NPI 1578662086
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1295977437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 LINCOLN BLVD",
            "address_2": "SUITE 225",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912827",
            "telephone_number": "310-396-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 LINCOLN BLVD",
            "address_2": "SUITE 225",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912827",
            "telephone_number": "310-396-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN M. DUONG MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-396-3635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "25498",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A91752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA, THE VITALITY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Huw Burston, MFT
• Joana Bustamante, MSW
• Eva Butler
• Sergio L Cacciotti
• Christina Cady, PA-C
• Jacob Campbell
• Jonathan Angus Campbell, CMAA
• Michael K Campbell, B.A.
• Arthur Achilles Camplone, PH.D.
• Karla Suggey Cano

• Internal Medicine Physician in Venice, CA
• Providers in Venice, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.