# ENT & FACIAL PLASTICS OF OC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255450318
- **Authorized official:** PETER TRONG NGOC NGUYEN DO (PRESIDENT)
- **Authorized official phone:** (714) 378-5577

## Contact information

- **Practice address:** 18111 BROOKHURST ST STE 5400, FOUNTAIN VALLEY, CA 92708-6728
- **Practice address phone:** (714) 378-5577
- **Practice address fax:** (714) 378-5578
- **Mailing address:** 18111 BROOKHURST ST STE 5400, FOUNTAIN VALLEY, CA 92708-6728
- **Mailing address phone:** (714) 378-5577
- **Mailing address fax:** (714) 378-5578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | FNP 1702 | CA | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 01/28/2021