Organization
ARDENT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH UYEN NGUYEN M.D. (PRESIDENT)
(630) 728-2494
Entity
Organization
Contact information
Practice address
3801 LAS POSAS RD, SUITE #211, CAMARILLO, CA 93010-1427
(805) 389-0099
(805) 389-4884
Mailing address
3805 HEDGE LN, CAMARILLO, CA 93012-7754
(630) 728-2494
(805) 389-4884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A90331
CA
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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