MEDICARE: DR. TUAN NGOC 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
1	207Q00000X	Family Medicine Physician	A64605	CA

General Provider Information

NPI Number	:	1144245366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TUAN NGOC NGUYEN M.D.

Provider Business Mailing Address
First Line	:	28078 BAXTER RD STE 320
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-1404
Country	:	US
Telephone Number	:	951-246-4546
Fax Number	:	951-672-9036

Provider Business Practice Location Address
First Line	:	28078 BAXTER RD STE 320
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-1404
Country	:	US
Telephone Number	:	951-246-4546
Fax Number	:	951-672-9036

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	09/26/2025

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