Organization
CARLSBAD AND VISTA DERMATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VU NGUYEN M.D. (PRESIDENT)
(760) 402-9715
Entity
Organization
Contact information
Practice address
2395 S MELROSE DR, VISTA, CA 92081-8788
(760) 402-9715
Mailing address
2395 S MELROSE DR, VISTA, CA 92081-8788
(760) 402-9715
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A97816
CA
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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