1285821389 DUANGTAVAN SOURIVONG
Methadone Clinic
Active
Basic Information
- Organization Name
- DUANGTAVAN SOURIVONG
- Enumeration Date
- October 2, 2007
- Last Update
- October 2, 2007
- Authorized Official
- BOBBY STEARNS MSW
CLINIC DIRECTOR
Phone: (619) 262-8000
Practice Location
- Address
- 3940 HOME AVE
SAN DIEGO, CA 921055952 - Phone
- (619) 262-8000
Mailing Address
- Address
- 4852 JARRETT CT
SAN DIEGO, CA 921133598 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Methadone Clinic Methadone | 261QM2800X | Clinic/Center | N/A | CA | Primary |
Frequently Asked Questions
What is DUANGTAVAN SOURIVONG's NPI number?
DUANGTAVAN SOURIVONG's NPI number is 1285821389.
Which doctor has NPI number 1285821389?
The doctor with NPI number 1285821389 is DUANGTAVAN SOURIVONG.
What is DUANGTAVAN SOURIVONG's practice address?
DUANGTAVAN SOURIVONG's practice address is 3940 HOME AVE, SAN DIEGO, CA, 921055952.
Which doctor practices at 3940 HOME AVE, SAN DIEGO, CA, 921055952?
DUANGTAVAN SOURIVONG practices at 3940 HOME AVE, SAN DIEGO, CA, 921055952.
What is DUANGTAVAN SOURIVONG's mailing address?
DUANGTAVAN SOURIVONG's mailing address is 4852 JARRETT CT, SAN DIEGO, CA, 921133598.
What is DUANGTAVAN SOURIVONG's phone number?
DUANGTAVAN SOURIVONG's phone number is (619) 262-8000.
Who is (619) 262-8000?
(619) 262-8000 is the phone number for DUANGTAVAN SOURIVONG.
What is DUANGTAVAN SOURIVONG's specialty?
DUANGTAVAN SOURIVONG's specialty is Methadone Clinic.
What type of doctor is DUANGTAVAN SOURIVONG?
DUANGTAVAN SOURIVONG is a Methadone Clinic.
Is DUANGTAVAN SOURIVONG a Methadone?
Yes, DUANGTAVAN SOURIVONG is a Methadone.
Is DUANGTAVAN SOURIVONG still practicing?
Yes, DUANGTAVAN SOURIVONG is currently practicing.
Is DUANGTAVAN SOURIVONG accepting new patients?
DUANGTAVAN SOURIVONG may be accepting new patients. Please call their office at (619) 262-8000 to inquire about availability.
Is NPI 1285821389 still active?
Yes, NPI 1285821389 is currently active.
Where does DUANGTAVAN SOURIVONG practice?
DUANGTAVAN SOURIVONG practices in SAN DIEGO, CA.