365 Medical Group, INC
NPI #1780275016 in Garden Grove, California
Provider Information
- NPI Number
- 1780275016
- Entity Type
- Organization
- Organization Name
- 365 Medical Group, INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 29, 2021
- Last Updated
- Jan 29, 2021
Practice Location
- Address
- 12865 MAIN ST STE 204
- City
- Garden Grove
- State
- California
- ZIP Code
- 92840-8200
- Phone
- (714) 360-0739
Authorized Official
- Name
- TAN NGUYEN, MD
- Title
- OWNER
- Phone
- (714) 360-0739
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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