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Organization

KHANH L. NGUYEN, M.D. PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHANH LEBAO NGUYEN M.D. (PRESIDENT)
(214) 621-7943
Entity
Organization

Contact information

Practice address
8650 GENESEE AVE, SUITE 214, SAN DIEGO, CA 92122-1134
(214) 621-7943
Mailing address
PO BOX 928766, SAN DIEGO, CA 92192-8766
(214) 621-7943

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M4896
TX

Other

Enumeration date
05/02/2008
Last updated
06/15/2012
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