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NPI Code Detail

MEDICARE: TAN V NGUYEN MD

MEDICARE:   TAN V NGUYEN  MD
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 PhysicianA88448CA

General Provider Information

NPI Number : 1093705485
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAN V NGUYEN MD
Provider Business Mailing Address
First Line : 475 PIONEER AVE STE 400
Second Line :
City : WOODLAND
State : CA
Zip : 95776-4905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 475 PIONEER AVE STE 400
Second Line :
City : WOODLAND
State : CA
Zip : 95776-4905
Country : US
Telephone Number : 530-406-5600
Fax Number : 916-928-3950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 02/16/2024

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Directions to “ TAN V NGUYEN MD” Practice Location

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