KHANH TAN DUONG MD PC
NPI 1174237150
Clinic/Center - Primary Care in Montclair, CA

Q: What is Khanh Tan Duong MD PC's NPI number?

The NPI number for Khanh Tan Duong MD PC is 1174237150. It was assigned to this organization in the NPPES registry on January 13, 2023. The provider is also known as Khanh Tan Duong Medical Office.

Q: What is Khanh Tan Duong MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since January 13, 2023

9635 MONTE VISTA AVE STE 208, MONTCLAIR, CA 91763(909) 255-0199(216) 208-1435 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Khanh Tan Duong Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHANH TAN DUONG MD PC (NPI 1174237150) is a healthcare organization registered as a primary care in Montclair, California and active in the NPI registry since January 2023. The organization lists Khanh Tan Duong, Director, as its authorized official.

NPPES Registry Identity

NPI1174237150

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameKHANH TAN DUONG MD PC

Location Address9635 MONTE VISTA AVE STE 208Montclair, CA 91763-2235

Mailing Address9635 Monte Vista Ave Ste 208Montclair, CA 91763-2235 · (909) 255-0199 · Fax (216) 208-1435

Phone(909) 255-0199

Fax(216) 208-1435

Organization SubpartNo

Authorized OfficialKhanh Tan DuongDirector · (909) 255-0199

Enumeration DateJanuary 13, 2023

NPPES CertifiedJanuary 13, 2023

✔ NPI 1174237150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

9635 MONTE VISTA AVE STE 208, Montclair, CA 91763

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Other Names 1

Other NameKhanh Tan Duong Medical Office

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHANH TAN DUONG MD

Internal Medicine

9635 MONTE VISTA AVE STE 208
MONTCLAIR, CA 91763

San Bernardino County (909) 255-0199

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khanh Tan Duong MD PC's NPI number?

The NPI number for Khanh Tan Duong MD PC is 1174237150. It was assigned to this organization in the NPPES registry on January 13, 2023. The provider is also known as Khanh Tan Duong Medical Office.

Where is Khanh Tan Duong MD PC located?

Khanh Tan Duong MD PC is located at 9635 Monte Vista Ave Ste 208, Montclair, CA 91763. The listed phone number is (909) 255-0199.

What is Khanh Tan Duong MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Khanh Tan Duong MD PC was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.