Organization
ETN MEDICAL INFUSION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH THU NGHIEM M.D. (PRESIDENT)
(714) 432-8884
Entity
Organization
Contact information
Practice address
11100 WARNER AVE STE 158, FOUNTAIN VALLEY, CA 92708-7510
(714) 432-8884
(714) 432-8885
Mailing address
11100 WARNER AVE STE 158, FOUNTAIN VALLEY, CA 92708-7510
(714) 432-8884
(714) 432-8885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A62911
CA
Other
Enumeration date
09/08/2014
Last updated
09/04/2019
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