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Individual

KELVIN HUY TANG NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
13310 EUCLID ST, GARDEN GROVE, CA 92843-2514
(714) 622-9004
Mailing address
13310 EUCLID ST, GARDEN GROVE, CA 92843-2514
(714) 638-2643
(714) 638-0103

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E-4912
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
R66856
NY

Other

Enumeration date
03/11/2010
Last updated
10/07/2020
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