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Organization
PREMIERCARE ANESTHESIA FOUNTAIN VALLEY INC
Active
Organization
PREMIERCARE ANESTHESIA FOUNTAIN VALLEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN A NGUYEN MD (AUTHORIZED REPRESENTATIVE)
(949) 856-2356
Entity
Organization
Contact information
Practice address
17100 EUCLID ST., FOUNTAIN VALLEY, CA 97208
(714) 966-7200
Mailing address
PO BOX 8457, PASADENA, CA 91109-9110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/04/2013
Last updated
12/12/2013
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