NPIMap

Organization Active NPI

LN Surgery Clinic

  • Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1073862058
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A45981 Issued in CA
Legal business name
LN SURGERY CLINIC
Practice address
13071 Brookhurst St
Suite # 160
Garden Grove, CA 92843-1091
Phone
(714) 636-8196
Fax
(714) 636-8197
NPI assigned
Sep 5, 2012
Last updated
Sep 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lan Khac Nguyen, M.D.
Title
President
Phone
(714) 636-8196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A45981 CA Primary

Addresses

Primary practice location

13071 Brookhurst St
Suite # 160
Garden Grove, CA 92843-1091

Mailing address

13071 Brookhurst St
Suite # 160
Garden Grove, CA 92843-1091
Phone (714) 636-8196

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1073862058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13071 BROOKHURST ST",
            "address_2": "SUITE # 160",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431091",
            "telephone_number": "714-636-8196",
            "fax_number": "714-636-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13071 BROOKHURST ST",
            "address_2": "SUITE # 160",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431091",
            "telephone_number": "714-636-8196",
            "fax_number": "714-636-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LN SURGERY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LAN",
        "authorized_official_middle_name": "KHAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-636-8196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A45981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.