Organization Active NPI

Lai Tran Pratska Duong Med Corp

  • Primary Podiatric Medicine Podiatrist
  • Garden Grove, CA
National Provider Identifier
1467515858
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E4237 Issued in CA
Legal business name
LAI TRAN PRATSKA DUONG MED CORP
Practice address
13071 Brookhurst St Ste 197B
Garden Grove, CA 92843-5500
Phone
(714) 534-2636
Fax
(714) 534-2630
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Khanh Duong, D.P.M.NPI 1295754125
Title
Director
Phone
(714) 697-9939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X E4237 CA Primary

Addresses

Primary practice location

13071 Brookhurst St Ste 197B
Garden Grove, CA 92843-5500

Mailing address

12541 Brookhurst St Ste 201
Garden Grove, CA 92840-4858
Phone (714) 537-9787

National Provider Directory

National Provider Directory

Locations

13071 Brookhurst St
Ste 197B
Garden Grove, CA 92843
Phone (714) 534-2608

12541 Brookhurst St
Ste 201
Garden Grove, CA 92840

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467515858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12541 BROOKHURST ST STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404858",
            "telephone_number": "714-537-9787",
            "fax_number": "714-537-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13071 BROOKHURST ST STE 197B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928435500",
            "telephone_number": "714-534-2636",
            "fax_number": "714-534-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAI TRAN PRATSKA DUONG MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "KHANH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-697-9939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E4237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.