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General NPI Number Information
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NPI Number | 1174519573
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Entity Type | Organization
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Legal Business Name | HUNG NGUYEN, M.D., INC.
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 10222 WESTMINSTER AVE
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4830
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Country | US
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Telephone | 714-539-0444
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Fax | 714-539-3339
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Provider Business Mailing Address
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Address Line | 2258 PIEPER LN
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City | TUSTIN
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State | CA
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Zip | 92782-1291
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Country | US
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Telephone | 714-539-0444
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Fax | 714-539-3339
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | DR. HUNG NGUYEN
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Credential | M.D.
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Telephone | 714-539-0444
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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 | G71814
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License Number State | CA
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