Individual
CALVIN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E HIGHLAND AVE STE 351, SAN BERNARDINO, CA 92404-3830
(909) 475-8611
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56004
CA
Other
Enumeration date
09/25/2018
Last updated
07/14/2022
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