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Individual

EDWARD NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1862
(909) 580-1388
Mailing address
210 N HUDSON AVE APT 2102, PASADENA, CA 91101-4411

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A13082
CA

Other

Enumeration date
05/10/2012
Last updated
04/27/2018
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