Organization
ST. MARTIN FAMILY MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUNG NGUYEN M.D (DIRECT OWNER)
(714) 537-3900
Entity
Organization
Contact information
Practice address
12555 GARDEN GROVE BLVD STE 506, GARDEN GROVE, CA 92843-1904
(714) 537-3900
(714) 537-7300
Mailing address
12555 GARDEN GROVE BLVD STE 506, GARDEN GROVE, CA 92843-1904
(714) 537-3900
(714) 537-7300
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
A61958
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A061958
—
CA
Enumeration date
04/23/2007
Last updated
11/21/2012
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