Individual
MICHAEL ONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15503 VENTURA BLVD, ENCINO, CA 91436-3114
(818) 461-8148
(818) 461-8105
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A164715
CA
Other
Enumeration date
03/29/2018
Last updated
08/29/2022
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