Physician Compare National (NPI:1104819945)

HEALTHCARE PROVIDER: HUNG NGUYEN M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1104819945
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496880445
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100317000045
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NGUYEN
	Individual professional last name
Provider First Name	HUNG
	Individual professional first name
Provider Middle Name	V
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DIAGNOSTIC RADIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	FAMILY MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DIAGNOSTIC RADIOLOGY, FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	7227 RESEDA BLVD
	Group Practice or individual's line 1 address
City	RESEDA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913353046
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y