Individual
DR. JIM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2514 S MADDOCK ST, SANTA ANA, CA 92704-5520
(714) 679-0852
Mailing address
2514 S MADDOCK ST, SANTA ANA, CA 92704-5520
(714) 679-0852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
130384
CA
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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