| 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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