Provider Demographics
NPI:1316487440
Name:DO, HUNG TUONG
Entity type:Individual
Prefix:MR
First Name:HUNG
Middle Name:TUONG
Last Name:DO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 STUART AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-5456
Mailing Address - Country:US
Mailing Address - Phone:916-662-4615
Mailing Address - Fax:
Practice Address - Street 1:2505 STUART AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-5456
Practice Address - Country:US
Practice Address - Phone:916-662-4615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor