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General NPI Number Information
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NPI Number | 1063637080
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Entity Type | Organization
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Legal Business Name | HUNG NGUYEN, DO, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 438 E KATELLA AVE STE F
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City | ORANGE
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State | CA
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Zip | 92867-4857
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Country | US
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Telephone | 562-869-6400
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Fax | 714-621-0096
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Provider Business Mailing Address
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Address Line | 12762 ANNETTE CIR
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City | GARDEN GROVE
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State | CA
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Zip | 92840-6103
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Country | US
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Telephone | 714-296-6264
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Fax | 714-621-0096
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Authorized Official
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Title or Position | D.O.
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Name | DR. HUNG M NGUYEN
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Credential | D.O.
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Telephone | 714-296-6264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A8568
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License Number State | CA
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