Provider Demographics
NPI:1285976522
Name:DUONG, ALLEN TRENTON (DACM, LAC, DIP OM)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:TRENTON
Last Name:DUONG
Suffix:
Gender:M
Credentials:DACM, LAC, DIP OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9098 LAGUNA MAIN ST STE 7A
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7449
Mailing Address - Country:US
Mailing Address - Phone:916-827-1808
Mailing Address - Fax:916-384-4882
Practice Address - Street 1:9098 LAGUNA MAIN ST STE 7A
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7449
Practice Address - Country:US
Practice Address - Phone:916-827-1808
Practice Address - Fax:916-384-4882
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-25
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 225700000X
CAAC18031171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist