Organization
CULMINATE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOA HIEU NGUYEN MD (PRESIDENT/CEO)
(562) 412-8863
Entity
Organization
Contact information
Practice address
24864 MUIRLANDS BLVD, LAKE FOREST, CA 92630-4812
(562) 412-8863
Mailing address
24864 MUIRLANDS BLVD, LAKE FOREST, CA 92630-4812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/17/2021
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