Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DUANGTAVAN SOURIVONG
Active OrganizationDUANGTAVAN SOURIVONG is a Methadone Clinic organization located in SAN DIEGO, California. NPI 1285821389 is currently active in the NPPES registry. Verify at CMS.
Methadone Clinic · SAN DIEGO, CA
Registration Details
- NPI Number
- 1285821389
- Provider Type
- Organization
- NPI Issued
- Oct 2, 2007 (18.895947061027 yrs)
- Last Updated
- Oct 2, 2007
Practice Information
- Address
-
3940 HOME AVESAN DIEGO, CA, 921055952Browse CA providers · Browse ZIP 92105
- Phone
- 6192628000
- Primary Specialty
-
Methadone Clinic
261QM2800X
Other Methadone Clinic Organizations in SAN DIEGO, CA
| Name | NPI |
|---|---|
| SAN DIEGO HEALTH ALLIANCE | 1700989829 |
| PROGRESSIVE MEDICAL SPECIALISTS LLC | 1932251550 |
| CRC HEALTH GROUP, INC | 1609997865 |
| CRC HEALTH | 1437372778 |
| MISSION TREATMENT SERVICES, INC. | 1750501599 |
| PROGRESSIVE MEDICAL SPECIALISTS | 1457533747 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.