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Individual
JOHNATHAN QUAN BA NGUYEN
Active
Individual
JOHNATHAN QUAN BA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1169412
CA
207Q00000X
Family Medicine Physician
Primary
A161013
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A161013
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2016
Last updated
08/23/2022
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