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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