MEDICARE: DR. AMY MAI 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
1	207Y00000X	Otolaryngology Physician	A136004	CA

General Provider Information

NPI Number	:	1205070794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY MAI NGUYEN MD

Provider Business Mailing Address
First Line	:	PO BOX 17866
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92817-7866
Country	:	US
Telephone Number	:	714-930-6989
Fax Number	:

Provider Business Practice Location Address
First Line	:	7219 WESTMINSTER BLVD
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-4235
Country	:	US
Telephone Number	:	714-930-6989
Fax Number	:	888-764-9650

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

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	04/29/2024

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