Organization
STANISLAUS KIDNEY AND HYPERTENSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH D. NGUYEN M.D. (CEO)
(209) 230-9065
Entity
Organization
Contact information
Practice address
3393 G ST, SUITE D, MERCED, CA 95340-0964
(209) 230-9065
Mailing address
3393 G ST, SUITE D, MERCED, CA 95340-0964
(209) 620-7389
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/27/2010
Last updated
09/27/2013
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