Organization
CHILDREN & ADULTS MED GR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HUU NGUYEN DO (PHYSICIAN OWNER OR PRESIDENT)
(213) 928-0866
Entity
Organization
Contact information
Practice address
633 N SPRING ST, STE #4, LOS ANGELES, CA 90012-2814
(213) 928-0866
(213) 928-0868
Mailing address
9246 E VALLEY BLVD, #C, ROSEMEAD, CA 91770
(626) 641-2117
(626) 573-3754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A6867
CA
208000000X
Pediatrics Physician
20A6867
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX68671
—
CA
Enumeration date
01/16/2007
Last updated
02/26/2010
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