Organization
CHAN LE NGUYEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAN NGUYEN M.D. (PRESIDENT)
(714) 604-9601
Entity
Organization
Contact information
Practice address
16027 BROOKHURST ST, STE G-171, FOUNTAIN VALLEY, CA 92708-1551
(714) 604-9601
(714) 964-9019
Mailing address
16027 BROOKHURST ST, STE G-171, FOUNTAIN VALLEY, CA 92708-1551
(714) 604-9601
(714) 964-9019
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A100830
CA
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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