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General NPI Number Information
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NPI Number | 1659684223
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Entity Type | Organization
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Legal Business Name | HONG NGUYEN, M.D., INC.
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 1400 S GRAND AVE STE 615
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City | LOS ANGELES
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State | CA
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Zip | 90015-3069
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Country | US
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 S GRAND AVE STE 615
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City | LOS ANGELES
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State | CA
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Zip | 90015-3069
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Country | US
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Telephone | 213-748-0110
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Fax | 213-402-5466
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HONG THU NGUYEN
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Credential | M.D.
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Telephone | 858-610-2262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A90724
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License Number State | CA
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