Organization
CA VEIN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NGUYEN MD (CEO)
(669) 201-0667
Entity
Organization
Contact information
Practice address
15706 POMERADO RD STE N202, POWAY, CA 92064-2067
(669) 201-0667
Mailing address
244 MADISON AVE # 1120, NEW YORK, NY 10016-2817
(669) 201-0667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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