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Organization
SD MEDICAL CLINIC INC, A PROFESSIONAL CORPORATION
Active
Organization
SD MEDICAL CLINIC INC, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN T NGUYEN M.D. (PRESIDENT)
(951) 929-6000
Entity
Organization
Contact information
Practice address
1105 S STATE ST, HEMET, CA 92543-7635
(951) 929-6000
(951) 929-6008
Mailing address
1105 S STATE ST, HEMET, CA 92543-7635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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