MEDICARE: DR. HOANG NHU NGUYEN M.D.

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	207L00000X	Anesthesiology Physician	G72589	CA

General Provider Information

NPI Number	:	1659556967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOANG NHU NGUYEN M.D.

Provider Business Mailing Address
First Line	:	3465 TORRANCE BLVD
Second Line	:	STE S
City	:	TORRANCE
State	:	CA
Zip	:	90503-5804
Country	:	US
Telephone Number	:	310-792-3914
Fax Number	:

Provider Business Practice Location Address
First Line	:	2880 ATLANTIC AVE STE 180
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1736
Country	:	US
Telephone Number	:	562-426-2606
Fax Number	:

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

Provider Enumeration Date	:	01/04/2008
Last Update Date	:	07/23/2008

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