Organization
ETHAN NGUYEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN NGUYEN M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
17762 BEACH BLVD, HUNTINGTON BEACH, CA 92647-6819
(714) 842-1426
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A94286
CA
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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