Organization
KEN C. NGUYEN DPM A PODIATRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN CUONG NGUYEN DPM (PRESIDENT)
(562) 946-3338
Entity
Organization
Contact information
Practice address
12263 LA MIRADA BLVD STE A, LA MIRADA, CA 90638-1329
(562) 946-3338
(562) 946-3553
Mailing address
12263 LA MIRADA BLVD STE A, LA MIRADA, CA 90638-1329
(562) 946-3338
(562) 946-3553
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4195
CA
Other
Enumeration date
10/02/2007
Last updated
04/05/2013
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