| Md24 La, Inc. | |
|
600 Anton Blvd Ste 1100 Costa Mesa CA 92626-7100 | |
| (623) 374-7774 | |
| Not Available |
| Full Name | Md24 La, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Anton Blvd Ste 1100, Costa Mesa, California |
| Authorized Official Name and Position | Linh C Nguyen (CEO) |
| Authorized Official Contact | 6268939730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md24 La, Inc. 600 Anton Blvd Ste 1100 Costa Mesa CA 92626-7100 Ph: (626) 893-9730 | Md24 La, Inc. 600 Anton Blvd Ste 1100 Costa Mesa CA 92626-7100 Ph: (623) 374-7774 |
| NPI Number | 1265919500 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265919500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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