Active NPI
Lai Tran Pratska Duong Med Corp
- Primary Podiatric Medicine Podiatrist
- Garden Grove, CA
National Provider Identifier
1467515858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- E4237
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 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 DirectoryLocations
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.
-
- Podiatrist
- Westminster, CA
- NPI 1295754125
-
- Family Medicine Physician
- Garden Grove, CA
- NPI 1528121761
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.