Healthcare Provider Details

I. General information

NPI: 1669553236
Provider Name (Legal Business Name): DAVID DUNG CHI NGUYEN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9817 ARKANSAS STREET
BELLFLOWER CA
90706-5913
US

IV. Provider business mailing address

9817 ARKANSAS STREET
BELLFLOWER CA
90706-5913
US

V. Phone/Fax

Practice location:
  • Phone: 562-867-8881
  • Fax: 562-867-8821
Mailing address:
  • Phone: 562-867-8881
  • Fax: 562-867-8821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA54119
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA35568
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA62976
License Number StateCA

VIII. Authorized Official

Name: DAVID D NGUYEN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 562-867-8881