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Organization
TAN VAN NGUYEN MD, INC.
Active
Organization
TAN VAN NGUYEN MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN VAN NGUYEN MD (PRESIDENT)
(626) 450-0777
Entity
Organization
Contact information
Practice address
9646 GARVEY AVE, SUITE#101, S EL MONTE, CA 91733-1098
(626) 450-0777
(626) 450-0776
Mailing address
9646 GARVEY AVE, SUITE#101, S EL MONTE, CA 91733-1098
(626) 450-0777
(626) 450-0776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00A530271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326073644
TYPE-1 NPI
CA
Enumeration date
01/10/2007
Last updated
07/23/2007
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