Individual
KHOA BA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 SANTA MONICA BLVD STE 510, SANTA MONICA, CA 90404-2131
(310) 917-3376
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A186255
CA
Other
Enumeration date
06/19/2020
Last updated
10/01/2024
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