MEDICARE: NICK NGUYEN, DPM., INC.

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	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1215819156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NICK NGUYEN, DPM., INC.

Provider Business Mailing Address
First Line	:	607 VALLEY FORGE DR
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-5033
Country	:	US
Telephone Number	:	714-321-7168
Fax Number	:

Provider Business Practice Location Address
First Line	:	607 VALLEY FORGE DR
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-5033
Country	:	US
Telephone Number	:	714-321-7168
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NICK T. NGUYEN
Credential	:	DPM
Telephone Number	:	714-321-7168

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	07/22/2025

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