Khoi Dinh Nguyen Medical Office Inc | |
12372 Garden Grove Blvd Ste B Garden Grove CA 92843-1804 | |
(714) 345-1441 | |
Not Available |
Full Name | Khoi Dinh Nguyen Medical Office Inc |
---|---|
Speciality | Family Medicine |
Location | 12372 Garden Grove Blvd Ste B, Garden Grove, California |
Authorized Official Name and Position | Khoi Dinh Nguyen (OWNER) |
Authorized Official Contact | 7143451441 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Khoi Dinh Nguyen Medical Office Inc 12372 Garden Grove Blvd Ste B Garden Grove CA 92843-1804 Ph: (714) 345-1441 | Khoi Dinh Nguyen Medical Office Inc 12372 Garden Grove Blvd Ste B Garden Grove CA 92843-1804 Ph: (714) 345-1441 |
NPI Number | 1104470301 |
---|---|
Provider Enumeration Date | 07/26/2019 |
Last Update Date | 07/26/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104470301 | NPI | - | NPPES |
A51519 | Other | CA | CA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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