Individual
DR. BENJAMIN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9961 SIERRA AVE, 3RD FLOOR ANESTHESIA ADMINISTRATION, FONTANA, CA 92335-6720
(909) 302-4857
Mailing address
9961 SIERRA AVE, 3RD FLOOR ANESTHESIA ADMINISTRATION, FONTANA, CA 92335-6720
(909) 302-4857
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A110128
CA
208D00000X
General Practice Physician
A 110128
CA
Other
Enumeration date
11/25/2009
Last updated
11/29/2021
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