Organization
NEWPORT-HUNTINGTON MEDICAL GROUP
Active
Parent organization
MEDVANTX, INC.
Other names
Son Thai Nguyen, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
19582 BEACH BLVD, SUITE 316, HUNTINGTON BEACH, CA 92648-2996
(714) 378-2404
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
G58897
CA
Other
Enumeration date
02/13/2007
Last updated
06/16/2015
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