MEDICARE: DINH T NGUYEN MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208600000X	Surgery Physician
2	261Q00000X	Clinic/Center
3	174400000X	Specialist

General Provider Information

NPI Number	:	1275321473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DINH T NGUYEN MD INC

Provider Business Mailing Address
First Line	:	9681 GARDEN GROVE BLVD STE 104
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92844-1548
Country	:	US
Telephone Number	:	714-462-6062
Fax Number	:	714-462-6072

Provider Business Practice Location Address
First Line	:	9681 GARDEN GROVE BLVD STE 104
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92844-1548
Country	:	US
Telephone Number	:	714-462-6062
Fax Number	:	714-462-6072

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DINH TRUONG NGUYEN
Credential	:	MD
Telephone Number	:	714-462-6062

Provider Enumeration Date	:	04/28/2025
Last Update Date	:	12/08/2025

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