Organization
HEALTH CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NGUYEN (CCRN II)
(714) 389-0105
Entity
Organization
Contact information
Practice address
734 ESTANCIA, IRVINE, CA 92602-1116
(714) 389-0105
Mailing address
734 ESTANCIA, IRVINE, CA 92602-1116
(714) 389-0105
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
RN742737
CA
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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