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General NPI Number Information
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NPI Number | 1982884359
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Entity Type | Organization
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Legal Business Name | HOA Q NGUYEN MD
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 15651 IMPERIAL HWY STE 102B
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City | LA MIRADA
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State | CA
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Zip | 90638-1600
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Country | US
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Telephone | 562-947-9591
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Fax |
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Provider Business Mailing Address
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Address Line | 15651 IMPERIAL HWY STE 102B
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City | LA MIRADA
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State | CA
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Zip | 90638-1600
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Country | US
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Telephone | 562-947-9591
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. HOA NGUYEN
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Credential | M.D.
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Telephone | 562-947-9591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A42958
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License Number State | CA
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