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NGAN NHU DOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2995 RED HILL AVE STE 200, COSTA MESA, CA 92626-5984
(949) 279-6519
Mailing address
507 S EUCLID ST SPC 10, SANTA ANA, CA 92704-1068
(714) 423-4031

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95012646
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10D0539932
MSI
CA
Enumeration date
01/11/2008
Last updated
01/24/2023
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