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Organization

IPCS ANESTHESIA, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHANG T NGUYEN M.D. (MANAGER)
(858) 457-2888
Entity
Organization

Contact information

Practice address
6610 FLANDERS DR, SUITE 100, SAN DIEGO, CA 92121-3940
(858) 457-2888
(888) 347-0124
Mailing address
6610 FLANDERS DR, SUITE 100, SAN DIEGO, CA 92121-3940
(858) 457-2888
(888) 347-0124

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A90876
CA

Other

Enumeration date
09/18/2015
Last updated
02/09/2016
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