Organization
RADIANCE OUTPATIENT SURGERY CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH N. NGUYEN M.D. (OWNER)
(714) 418-9499
Entity
Organization
Contact information
Practice address
9842 BOLSA AVE # 200-A, WESTMINSTER, CA 92683-6680
(714) 418-9499
Mailing address
9842 BOLSA AVE # 200-A, WESTMINSTER, CA 92683-6680
(714) 418-9499
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G71173
STATE LICENSE NO.
CA
Enumeration date
06/12/2007
Last updated
03/24/2008
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