Healthcare Provider Details

I. General information

NPI: 1013829886
Provider Name (Legal Business Name): HUY V. NGUYEN, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1334 W COVINA BLVD STE 105
SAN DIMAS CA
91773-3211
US

IV. Provider business mailing address

700 NACHI WAY
MONTEREY PARK CA
91754-2544
US

V. Phone/Fax

Practice location:
  • Phone: 714-261-4917
  • Fax:
Mailing address:
  • Phone: 714-261-4917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HUY VU NGUYEN
Title or Position: OPHTHALMOLOGIST/RETINA SPECIALIST
Credential: MD
Phone: 714-261-4917