Individual ProviderTammy DuongPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address2010 Zonal Ave, #1p10, Los Angeles, CA 90033-1026(323) 409-5572(415) 476-7527PECOS EnrollmentBased on the most recent information from CMS, provider Tammy Duong is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1265848519Provider TypeIndividualFull NameDuong, TammyTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/8/2014Last Updated11/7/2016Contact InformationPractice LocationPractice Address2010 Zonal Ave, #1p10, Los Angeles, CA 90033-1026Phone(323) 409-5572FaxUnlisted FaxMailing LocationMailing Address401 Parnassus Avenue, Box Gpp-0984, San Francisco, CA 94143-0984Phone(415) 476-7527FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA130609California