Healthcare Provider Details

I. General information

NPI: 1265842470
Provider Name (Legal Business Name): ALEXANDER CHUONG NGUYEN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALEX CHUONG NGUYEN

II. Dates (important events)

Enumeration Date: 04/28/2014
Last Update Date: 01/04/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 TECHNOLOGY DR
IRVINE CA
92618-2302
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 949-923-3200
  • Fax:
Mailing address:
  • Phone: 702-579-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number20A14372
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A14372
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: