| Chan Le Nguyen Md Inc | |
|
16027 Brookhurst St Ste G-171 Fountain Valley CA 92708-1551 | |
| (714) 604-9601 | |
| (714) 964-9019 |
| Full Name | Chan Le Nguyen Md Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 16027 Brookhurst St, Fountain Valley, California |
| Authorized Official Name and Position | Chan Nguyen (PRESIDENT) |
| Authorized Official Contact | 7146049601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chan Le Nguyen Md Inc 16027 Brookhurst St Ste G-171 Fountain Valley CA 92708-1551 Ph: (714) 604-9601 | Chan Le Nguyen Md Inc 16027 Brookhurst St Ste G-171 Fountain Valley CA 92708-1551 Ph: (714) 604-9601 |
| NPI Number | 1104159201 |
|---|---|
| Provider Enumeration Date | 09/09/2009 |
| Last Update Date | 09/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104159201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A100830 (California) | Primary |
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