Organization
LN SURGERY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAN KHAC NGUYEN M.D. (PRESIDENT)
(714) 636-8196
Entity
Organization
Contact information
Practice address
13071 BROOKHURST ST, SUITE # 160, GARDEN GROVE, CA 92843-1091
(714) 636-8196
(714) 636-8197
Mailing address
13071 BROOKHURST ST, SUITE # 160, GARDEN GROVE, CA 92843-1091
(714) 636-8196
(714) 636-8197
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A45981
CA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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