Organization
KIET LOC APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIET MINH LOC MD (PRESIDENT)
(949) 837-1130
Entity
Organization
Contact information
Practice address
24012 CALLE DE LA PLATA, SUITE 150, LAGUNA HILLS, CA 92653-3621
(949) 837-1130
(949) 581-9189
Mailing address
24012 CALLE DE LA PLATA, SUITE 150, LAGUNA HILLS, CA 92653-3621
(949) 837-1130
(949) 581-9189
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
A119338
CA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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