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Organization
29 PALMS SURGERY CENTER INCORPORATED
Active
Organization
29 PALMS SURGERY CENTER INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AN V NGUYEN DDS (OWNER)
(760) 865-0544
Entity
Organization
Contact information
Practice address
73666 JOSHUA DR, TWENTYNINE PALMS, CA 92277-2572
(760) 865-0544
(888) 877-5510
Mailing address
73666 JOSHUA DR, TWENTYNINE PALMS, CA 92277-2572
(760) 865-0544
(888) 877-5510
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
56731
CA
261QE0002X
Emergency Care Clinic/Center
56731
CA
261QP3300X
Pain Clinic/Center
56731
CA
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
56731
CA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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