Individual
DR. KEN CUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
12263 LA MIRADA BLVD, LA MIRADA, CA 90638-1329
(562) 946-3338
(562) 946-3553
Mailing address
PO BOX 201, LA MIRADA, CA 90637-0201
(562) 946-3338
(562) 946-3553
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4195
CA
Other
Enumeration date
11/10/2006
Last updated
02/25/2013
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