Organization
DAVID DC NGUYEN, MD, CORP
Active
Organization
DAVID DC NGUYEN, MD, CORP
Active
Other names
Harbor Valley Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DUNGCHI NGUYEN M.D. (DOCTOR)
(714) 775-2600
Entity
Organization
Contact information
Practice address
16040 HARBOR BLVD STE I, FOUNTAIN VALLEY, CA 92708-1327
(714) 775-2600
(714) 775-2622
Mailing address
PO BOX 20228, FOUNTAIN VALLEY, CA 92728-0228
(714) 775-2600
(714) 775-2622
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A54119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A54119
—
CA
Enumeration date
03/12/2012
Last updated
03/12/2012
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