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General NPI Number Information
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NPI Number | 1437200276
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Entity Type | Organization
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Legal Business Name | CHILDREN & ADULTS MED GR INC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 02/26/2010
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Provider Practice Location Address
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Address Line | 633 N SPRING ST STE #4
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City | LOS ANGELES
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State | CA
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Zip | 90012-2814
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Country | US
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Telephone | 213-928-0866
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Fax | 213-928-0868
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Provider Business Mailing Address
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Address Line | 9246 E VALLEY BLVD #C
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City | ROSEMEAD
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State | CA
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Zip | 91770
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Country | US
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Telephone | 626-641-2117
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Fax | 626-573-3754
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Authorized Official
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Title or Position | PHYSICIAN OWNER OR PRESIDENT
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Name | DR. DAVID HUU NGUYEN
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Credential | DO
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Telephone | 213-928-0866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 20A6867
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A6867
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License Number State | CA
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