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Physician Compare National (NPI:1407136336)

HEALTHCARE PROVIDER: HOAN DUC NGUYEN D.C.

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

Individual Professional Information

NPI 1407136336
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0345409611
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120306000179
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 HOAN
Individual professional first name
Provider Middle Name DUC
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name LOS ANGELES COLLEGE OF CHIROPRACTIC
Individual professional's medical school
Graduation Year 2010
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 PHYSICAL MEDICINE AND REHABILITATION
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 PREVENTATIVE MEDICINE
Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3 SPORTS MEDICINE
Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties PHYSICAL MEDICINE AND REHABILITATION, PREVENTATIVE MEDICINE, SPORTS MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 2791 GREEN RIVER RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 101
Group Practice or individual's line 2 address
City CORONA
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 928827452
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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