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Organization

HEALTH CARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VIVIAN NGUYEN (PHN)
(714) 834-8625
Entity
Organization

Contact information

Practice address
10662 MCKEEN ST, GARDEN GROVE, CA 92843-2456
(714) 834-8625
(714) 834-7956
Mailing address
10662 MCKEEN ST, GARDEN GROVE, CA 92843-2456
(714) 834-8625
(714) 834-7956

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
559712
CA

Other

Enumeration date
11/07/2006
Last updated
08/22/2020
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