KHANH L. NGUYEN, M.D. PA
Neurology at Genesee Ave, San Diego, CA

License number
California M4896
Category
Neurology
Type
Neurology
Owner
Name: DR. KHANH LEBAO NGUYEN M.D.
Title: PRESIDENT
Phone: (214) 621-7943
Address
Address
8650 Genesee Ave SUITE 214, San Diego, CA 92122
National Provider ID: 1427224146
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KHANH L. NGUYEN, M.D., PA

San Diego, CA  -  Plano, TX

Status:
Inactive
Registration:
Mar 6, 2008
Addresses:
PO Box 928766, San Diego, CA 92192 (Mailing)
1600 Coit Rd, Plano, TX 75075
State ID:
0800948261
Business type:
Professional Association
President, Director, Member:
Khanh L. Nguyen President, Director, Member, inactive
TIN:
32034910854

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