# SOUTH VALLEY DERMATOLOGY AND COSMETIC LASER CENTER INC

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

## Provider details

- **NPI number:** 1376827055
- **Authorized official:** DR. DANIEL D NGUYEN M.D. (PRESIDENT)
- **Authorized official phone:** (559) 582-4510

## Contact information

- **Practice address:** 740 N IRWIN ST, HANFORD, CA 93230-3814
- **Practice address phone:** (559) 582-4510
- **Practice address fax:** (559) 583-6062
- **Mailing address:** 740 N IRWIN ST, HANFORD, CA 93230-3814
- **Mailing address phone:** (559) 582-4510
- **Mailing address fax:** (559) 583-6062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A80452 | CA | Yes |

## Other

- **Enumeration date:** 09/29/2011
- **Last updated:** 12/21/2011