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General NPI Number Information
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NPI Number | 1861594368
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Entity Type | Organization
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Legal Business Name | NGUYEN AND MOK MEDICAL GROUP
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Dates
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Enumeration Date | 09/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11100 WARNER AVE SUITE 362
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7506
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Country | US
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Telephone | 714-434-4990
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Fax | 714-434-4972
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Provider Business Mailing Address
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Address Line | 11100 WARNER AVE SUITE 362
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7506
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Country | US
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Telephone | 714-434-4990
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Fax | 714-434-4972
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. MINSEN MOK
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Credential | M.D.
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Telephone | 714-434-4990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G73182
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A47915
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License Number State | CA
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