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Organization
VINCENT DAT NGUYEN INC.
Active
Organization
VINCENT DAT NGUYEN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT D NGUYEN D.O. (PRESIDENT)
(714) 267-7000
Entity
Organization
Contact information
Practice address
5300 BEACH BLVD, 110-428, BUENA PARK, CA 90621-1250
(714) 267-7000
Mailing address
5300 BEACH BLVD, 110-428, BUENA PARK, CA 90621-1250
(714) 267-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX64290
—
CA
Enumeration date
03/15/2012
Last updated
03/15/2012
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