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Individual

ANTHONY NGOTRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 773-4504
Mailing address
19521 POMPANO LN UNIT 103, HUNTINGTON BEACH, CA 92648-2480
(714) 683-6259

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/08/2024
Last updated
05/08/2024
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