Organization
DUC VAN NGUYEN M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUC VAN NGUYEN M.D. (OWNER)
(626) 288-3306
Entity
Organization
Contact information
Practice address
8748 VALLEY BLVD, SUITE H, ROSEMEAD, CA 91770-1761
(626) 288-3306
(626) 288-9444
Mailing address
8748 VALLEY BLVD, SUITE H, ROSEMEAD, CA 91770-1761
(626) 288-3306
(626) 288-9444
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C42546
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C425461
—
CA
Enumeration date
11/15/2012
Last updated
11/15/2012
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