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Individual

DR. DEAN BA NGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15606 BROOKHURST STREET, SUITE B, WESTMINSTER, CA 92683
(714) 531-0000
(714) 531-1006
Mailing address
6426 FAIRWIND CIR, HUNTINGTON BEACH, CA 92648-6714
(714) 531-0000
(714) 531-1006

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A60674
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A606740
CA
Enumeration date
09/20/2005
Last updated
05/23/2013
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