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Organization
LANDMARK ANESTHESIA MEDICAL GROUP PRIME
Active
Organization
LANDMARK ANESTHESIA MEDICAL GROUP PRIME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANH NGUYEN-CLARK (PRESIDENT)
(714) 503-0195
Entity
Organization
Contact information
Practice address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 241-8000
Mailing address
2271 W MALVERN AVE UNIT 139, FULLERTON, CA 92833-2106
(714) 503-0195
(714) 676-8603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
12/02/2022
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