Organization Active NPI

Harbor Neurological Group

  • Neurology Physician
  • Westminster, CA
National Provider Identifier
1588068191
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A86632 Issued in CA
Legal business name
HARBOR NEUROLOGICAL GROUP
Practice address
13701 Beach Blvd
Suite A1
Westminster, CA 92683-3203
Phone
(714) 705-0737
Fax
(310) 388-5802
NPI assigned
Oct 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Dr. Khan Duong, DPM
Title
Podiatrist
Phone
(714) 705-0737

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X A64097 CA
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X A86632 CA Primary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X E4237 CA

Addresses

Primary practice location

13701 Beach Blvd
Suite A1
Westminster, CA 92683-3203

Mailing address

21039 Figueroa St
Suite 201
Carson, CA 90745-1972
Phone (714) 705-0737

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1588068191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21039 FIGUEROA ST",
            "address_2": "SUITE 201",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451972",
            "telephone_number": "714-705-0737",
            "fax_number": "310-618-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 BEACH BLVD",
            "address_2": "SUITE A1",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833203",
            "telephone_number": "714-705-0737",
            "fax_number": "310-388-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR NEUROLOGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "KHAN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "714-705-0737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A64097",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A86632",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E4237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.