Organization
SOUTH VALLEY DERMATOLOGY AND COSMETIC LASER CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL D NGUYEN M.D. (PRESIDENT)
(559) 582-4510
Entity
Organization
Contact information
Practice address
740 N IRWIN ST, HANFORD, CA 93230-3814
(559) 582-4510
(559) 583-6062
Mailing address
740 N IRWIN ST, HANFORD, CA 93230-3814
(559) 582-4510
(559) 583-6062
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A80452
CA
Other
Enumeration date
09/29/2011
Last updated
12/21/2011
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