Individual
KHANH K NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-8558
Mailing address
11234 ANDERSON ST STE 2586A, LOMA LINDA, CA 92354-2804
(909) 558-8558
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A142734
CA
207Y00000X
Otolaryngology Physician
MD-46065
IA
Other
Enumeration date
04/16/2014
Last updated
07/13/2020
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