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NPI Code Detail

MEDICARE: TIEN NGUYEN M.D

MEDICARE: TIEN NGUYEN M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA91766CA
2208600000XSurgery PhysicianA91766CA
32086S0129XVascular Surgery PhysicianA91766CA

General Provider Information

NPI Number : 1013923481
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIEN NGUYEN M.D
Provider Business Mailing Address
First Line : 4901 CENTENNIAL PLAZA WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-2011
Country : US
Telephone Number : 661-588-1150
Fax Number : 661-241-4052
Provider Business Practice Location Address
First Line : 4901 CENTENNIAL PLAZA WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-2011
Country : US
Telephone Number : 661-588-1150
Fax Number : 661-241-4052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 06/02/2011

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