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Organization
TAM K NGUYEN MEDICAL PROFESSIONAL CORP
Active
Organization
TAM K NGUYEN MEDICAL PROFESSIONAL CORP
Active
Other names
CT Clinic, CT CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAM K NGUYEN MD (CEO/PRESIDENT)
(714) 757-3797
Entity
Organization
Contact information
Practice address
12221 BROOKHURST ST STE 100, GARDEN GROVE, CA 92840-2848
(714) 805-8260
(714) 908-8086
Mailing address
12221 BROOKHURST ST STE 100, GARDEN GROVE, CA 92840-2848
(714) 805-8260
(714) 908-8086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208M00000X
Hospitalist Physician
A55848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA55858
—
CA
Enumeration date
03/23/2012
Last updated
04/22/2023
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