MEDICARE: MRS. TUE THI NGUYEN MD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A49831	CA

General Provider Information

NPI Number	:	1548226178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TUE THI NGUYEN MD

Provider Business Mailing Address
First Line	:	7506 CELATA CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92129-4553
Country	:	US
Telephone Number	:	619-280-7185
Fax Number	:	619-280-0994

Provider Business Practice Location Address
First Line	:	4551 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-4316
Country	:	US
Telephone Number	:	619-280-7185
Fax Number	:	619-280-0994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2006
Last Update Date	:	11/21/2016

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