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Individual

NICHOLAS N DOAN VAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, F.A.C.C. INC.

Contact information

Practice address
18111 BROOKHURST ST, SUITE 5100, FOUNTAIN VALLEY, CA 92708-6728
(714) 546-2238
(714) 434-8145
Mailing address
18111 BROOKHURST ST, SUITE 5100, FOUNTAIN VALLEY, CA 92708-6728
(714) 546-2238
(714) 434-8145

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A68391
CA
207RI0011X
Interventional Cardiology Physician
Primary
A68391
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
YYY49298Y
CA
Enumeration date
02/26/2007
Last updated
11/09/2020
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