Organization
RIDGECREST WOMEN'S MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN NGUYEN M.D. (PRESIDENT)
(760) 446-3074
Entity
Organization
Contact information
Practice address
1041 N CHINA LAKE BLVD, SUITE C, RIDGECREST, CA 93555-3168
(760) 446-3074
Mailing address
1041 N CHINA LAKE BLVD, SUITE C, RIDGECREST, CA 93555-3168
(760) 446-3074
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A109246
CA
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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