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Organization
KY NGOC NGUYEN MD INC
Active
Organization
KY NGOC NGUYEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KY NGOC NGUYEN MEDICAL DOCTOR (PRESIDENT)
(714) 898-1526
Entity
Organization
Contact information
Practice address
9141 BOLSA AVE, SUITE 301, WESTMINSTER, CA 92683
(714) 898-1526
(714) 373-5244
Mailing address
9141 BOLSA AVE, SUITE 301, WESTMINSTER, CA 92683
(714) 898-1526
(714) 373-5244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A32504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0006061
—
CA
Enumeration date
10/06/2006
Last updated
12/20/2007
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