# 29 PALMS SURGERY CENTER INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942659099
- **Authorized official:** AN V NGUYEN DDS (OWNER)
- **Authorized official phone:** (760) 865-0544

## Contact information

- **Practice address:** 73666 JOSHUA DR, TWENTYNINE PALMS, CA 92277-2572
- **Practice address phone:** (760) 865-0544
- **Practice address fax:** (888) 877-5510
- **Mailing address:** 73666 JOSHUA DR, TWENTYNINE PALMS, CA 92277-2572
- **Mailing address phone:** (760) 865-0544
- **Mailing address fax:** (888) 877-5510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 56731 | CA | Yes |
| 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