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Organization
ENT & FACIAL PLASTICS OF OC, INC.
Active
Organization
ENT & FACIAL PLASTICS OF OC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER TRONG NGOC NGUYEN DO (PRESIDENT)
(714) 378-5577
Entity
Organization
Contact information
Practice address
18111 BROOKHURST ST STE 5400, FOUNTAIN VALLEY, CA 92708-6728
(714) 378-5577
(714) 378-5578
Mailing address
18111 BROOKHURST ST STE 5400, FOUNTAIN VALLEY, CA 92708-6728
(714) 378-5577
(714) 378-5578
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
FNP 1702
CA
Other
Enumeration date
03/28/2007
Last updated
01/28/2021
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