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NPI Code Detail

MEDICARE: DR. KHANG NGOC NGUYEN M.D.

MEDICARE: DR. KHANG 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
1207R00000XInternal Medicine PhysicianA80496CA

General Provider Information

NPI Number : 1245203074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHANG NGOC NGUYEN M.D.
Provider Business Mailing Address
First Line : 2699 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2710
Country : US
Telephone Number : 562-426-3333
Fax Number : 562-933-0125
Provider Business Practice Location Address
First Line : 2699 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2710
Country : US
Telephone Number : 562-426-3333
Fax Number : 562-427-1876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 04/22/2008

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