Individual
DR. AN THI-NGOC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
150 PAULARINO AVE STE D182, COSTA MESA, CA 92626-3302
(949) 353-5053
(949) 799-2808
Mailing address
PO BOX 5664, GARDEN GROVE, CA 92846-0664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A12373
CA
Other
Enumeration date
08/10/2012
Last updated
06/14/2022
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