Tom Le Nguyen D.o. Inc | |
625 E Valley Blvd Suite H & I San Gabriel CA 91776-3591 | |
(626) 572-4658 | |
(626) 572-4336 |
Full Name | Tom Le Nguyen D.o. Inc |
---|---|
Speciality | Family Medicine |
Location | 625 E Valley Blvd, San Gabriel, California |
Authorized Official Name and Position | Tom L Nguyen (PRESIDENT) |
Authorized Official Contact | 7602204575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tom Le Nguyen D.o. Inc 625 E Valley Blvd Suite H & I San Gabriel CA 91776-3591 Ph: (626) 572-4658 | Tom Le Nguyen D.o. Inc 625 E Valley Blvd Suite H & I San Gabriel CA 91776-3591 Ph: (626) 572-4658 |
NPI Number | 1760638761 |
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Provider Enumeration Date | 08/11/2008 |
Last Update Date | 08/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760638761 | NPI | - | NPPES |
20A9384 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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