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General NPI Number Information
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NPI Number | 1548688732
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Entity Type | Organization
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Legal Business Name | HOUSE CALL MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 12865 MAIN ST STE 105
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City | GARDEN GROVE
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State | CA
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Zip | 92840
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Country | US
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Telephone | 800-560-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 12865 MAIN ST STE 105
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City | GARDEN GROVE
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State | CA
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Zip | 92840-8205
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Country | US
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Telephone | 800-560-9999
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Fax | 800-391-4191
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Authorized Official
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Title or Position | CEO
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Name | TAN THE NGUYEN
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Credential | MD
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Telephone | 800-560-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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