Organization
KHIEM PV NGUYEN MD CARDIOLOGY ASSOCIATES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAM TRAN (OFFICE MANAGER)
(714) 775-4400
Entity
Organization
Contact information
Practice address
10681 BOLSA AVE, GARDEN GROVE, CA 92843-5270
(714) 775-4400
(714) 775-0149
Mailing address
10681 BOLSA AVE, GARDEN GROVE, CA 92843-5270
(714) 775-4400
(714) 775-0149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G573010
—
CA
01
—
ZZZ61416Z
BLUE SHIELD
CA
Enumeration date
05/09/2006
Last updated
03/02/2021
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