Organization
CALIFORNIA DEPARTMENT OF CORRECTION/ REHABILITATION
Active
Other names
Department C&R CORR Institution/ Tehachapi
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGUYET MINH DAM MD (STAFF PSYCHIATRIST)
(661) 822-4402
Entity
Organization
Contact information
Practice address
24900 HIGHWAY 202, TEHACHAPI, CA 93561-5558
(661) 822-4402
Mailing address
24900 HIGHWAY 202, TEHACHAPI, CA 93561-5558
(661) 822-4402
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
A63214
CA
Other
Enumeration date
10/14/2012
Last updated
10/14/2012
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