MEDICARE: DR. DAVID 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	2086S0122X	Plastic and Reconstructive Surgery Physician	A127281	CA

General Provider Information

NPI Number	:	1144588161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID NGUYEN M.D.

Provider Business Mailing Address
First Line	:	26572 TOWNE CENTRE DR
Second Line	:
City	:	LAKE FOREST
State	:	CA
Zip	:	92610-2417
Country	:	US
Telephone Number	:	657-900-5055
Fax Number	:	657-230-2233

Provider Business Practice Location Address
First Line	:	26572 TOWNE CENTRE DR
Second Line	:
City	:	LAKE FOREST
State	:	CA
Zip	:	92610-2417
Country	:	US
Telephone Number	:	657-900-5055
Fax Number	:	657-230-2233

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

Provider Enumeration Date	:	04/27/2012
Last Update Date	:	03/29/2025

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