Individual
PHUONG THANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL PROVIDER
Contact information
Practice address
11712 BANNER DR, GARDEN GROVE, CA 92843-2707
(714) 785-4111
Mailing address
11712 BANNER DR, GARDEN GROVE, CA 92843-2707
(714) 785-4111
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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