Healthcare Provider Details
I. General information
NPI: 1891667721
Provider Name (Legal Business Name): AN MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2025
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8102 WESTMINSTER BLVD STE E
WESTMINSTER CA
92683-3363
US
IV. Provider business mailing address
18627 BROOKHURST ST # 530
FOUNTAIN VALLEY CA
92708-6748
US
V. Phone/Fax
- Phone: 714-808-3080
- Fax:
- Phone: 714-808-3080
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TUAN
D
NGUYEN
Title or Position: CEO
Credential: DO
Phone: 714-808-3080