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NPI Code Detail

MEDICARE: DR. PHUC VINH NGUYEN M.D.

MEDICARE:  DR. PHUC VINH 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
1207R00000XInternal Medicine PhysicianC50626CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2C50626OTHERCAPHUC V NGUYEN MD

General Provider Information

NPI Number : 1134123961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHUC VINH NGUYEN M.D.
Provider Business Mailing Address
First Line : 9500 BOLSA AVE
Second Line : STE M
City : WESTMINSTER
State : CA
Zip : 92683-5943
Country : US
Telephone Number : 714-531-8915
Fax Number : 714-531-6231
Provider Business Practice Location Address
First Line : 9500 BOLSA AVE
Second Line : STE M
City : WESTMINSTER
State : CA
Zip : 92683-5943
Country : US
Telephone Number : 714-531-8915
Fax Number : 714-531-6231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/09/2007

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