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1992933055
TIM VAN LUONG
GARDEN GROVE, CA
NPI
1992933055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA16671)
Enumeration Date
2009-06-29
Last Update Date
2022-03-01
Business Address
Mr. TIM VAN LUONG PA
7761 GARDEN GROVE BLVD
GARDEN GROVE, CA 92841-4200
Phone number: 714-898-8888
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Mailing Address
Mr. TIM VAN LUONG PA
6958 NEW RIDGE DR
RIVERSIDE, CA 92506-4912
Phone number: 951-780-9787
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