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Individual

TRONG B NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18035 BROOKHURST ST # 1100, FOUNTAIN VALLEY, CA 92708-6738
(714) 861-4888
Mailing address
18035 BROOKHURST ST, # 1100, FOUNTAIN VALLEY, CA 92708-6738
(714) 861-4888

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A99679
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A99679
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1720243868
NPI2
CA
Enumeration date
04/02/2008
Last updated
03/17/2018
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