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General NPI Number Information
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NPI Number | 1649189622
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Entity Type | Organization
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Legal Business Name | KEN D. NGUYEN, M.D., INC.
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/19/2026
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Provider Practice Location Address
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Address Line | 709 N HILL ST STE 16
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City | LOS ANGELES
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State | CA
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Zip | 90012-2352
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Country | US
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Telephone | 626-888-8616
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 597
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City | TEMPLE CITY
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State | CA
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Zip | 91780-0597
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEN D NGUYEN
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Credential | MD
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Telephone | 626-898-4560
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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