Individual
ANPHONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 LAS TABLAS RD, TEMPLETON, CA 93465-9704
(805) 434-3500
Mailing address
1917 BELMAR WAY, UPLAND, CA 91784-1510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A190579
CA
Other
Enumeration date
04/16/2019
Last updated
10/03/2024
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