Provider Demographics
NPI:1790143840
Name:NOBLE CARE MULTI-SPECIALTY SURGERY & MEDICAL CENTER, INC
Entity Type:Organization
Organization Name:NOBLE CARE MULTI-SPECIALTY SURGERY & MEDICAL CENTER, INC
Other - Org Name:NOBLE CARE OUTPATIENT SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:TUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:714-979-1411
Mailing Address - Street 1:9842 BOLSA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6685
Mailing Address - Country:US
Mailing Address - Phone:714-979-1411
Mailing Address - Fax:714-979-1422
Practice Address - Street 1:9842 BOLSA AVE STE 200
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6685
Practice Address - Country:US
Practice Address - Phone:714-979-1411
Practice Address - Fax:714-979-1422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical