Harbor Valley Medical Clinic | |
16040 Harbor Blvd Ste I Fountain Valley CA 92708-1327 | |
(714) 775-2600 | |
(714) 775-2622 |
Full Name | Harbor Valley Medical Clinic |
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Speciality | Clinic/center |
Location | 16040 Harbor Blvd Ste I, Fountain Valley, California |
Authorized Official Name and Position | David Dungchi Nguyen (DOCTOR) |
Authorized Official Contact | 7147752600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Harbor Valley Medical Clinic Po Box 20228 Fountain Valley CA 92728-0228 Ph: (714) 775-2600 | Harbor Valley Medical Clinic 16040 Harbor Blvd Ste I Fountain Valley CA 92708-1327 Ph: (714) 775-2600 |
NPI Number | 1821363706 |
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Provider Enumeration Date | 03/12/2012 |
Last Update Date | 03/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821363706 | NPI | - | NPPES |
A54119 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | A54119 (California) | Primary |
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