Individual provider Active NPI

Christine H. Duong, PH.D.

  • Clinical Psychologist
  • Temecula, CA
National Provider Identifier
1427253715
Registry record updated Oct 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18677 Issued in CA
Practice address
27403 Ynez Rd Ste 202
Temecula, CA 92591-4616
Phone
(951) 231-1667
Fax
(951) 461-8112
NPI assigned
Jun 18, 2007
Last updated
Oct 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY18677 CA Primary

Addresses

Primary practice location

27403 Ynez Rd Ste 202
Temecula, CA 92591-4616

Mailing address

27403 Ynez Rd Ste 202
Temecula, CA 92591-4616
Phone (951) 231-1667

Other names 1

  • Dr. Christine H. Duong-Perez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY18677CAMDClinical Psychologist
18677CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartsol Corporation CurrentSince Mar 7, 2021 Accepting new patients

Locations

27403 Ynez Rd
Ste 202
Temecula, CA 92591
Phone 9512311667 ext. 3

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477094400000",
    "number": "1427253715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD STE 202",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914616",
            "telephone_number": "951-231-1667",
            "fax_number": "951-461-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD STE 202",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914616",
            "telephone_number": "951-231-1667",
            "fax_number": "951-461-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "CHRISTINE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2016-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "DUONG-PEREZ",
            "middle_name": "H.",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; 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.