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1073139630
KHOA BA NGUYEN
SANTA MONICA, CA
NPI
1073139630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CA A186255)
Enumeration Date
2020-06-19
Last Update Date
2024-10-01
Business Address
KHOA BA NGUYEN
2020 SANTA MONICA BLVD STE 510
SANTA MONICA, CA 90404-2131
Phone number: 310-917-3376
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Mailing Address
KHOA BA NGUYEN
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707
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