# MD24 OC, INC

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

## Provider details

- **NPI number:** 1639656358
- **Authorized official:** DR. LINH CAO NGUYEN MD (CEO)
- **Authorized official phone:** (623) 374-7774

## Contact information

- **Practice address:** PLAZA TOWER I 600 ANTON BLVD,, SUITE 1100,, COSTA MESA, AZ 92626
- **Practice address phone:** (623) 374-7774
- **Mailing address:** PLAZA TOWER I 600 ANTON BLVD,, SUITE 1100,, COSTA MESA, AZ 92626
- **Mailing address phone:** (623) 374-7774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2018
- **Last updated:** 07/25/2018
