MEDICARE: SEN V 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	A176846	CA
2	207Q00000X	Family Medicine Physician	MD2019-0079	NM

General Provider Information

NPI Number	:	1265886683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEN V NGUYEN M.D.

Provider Business Mailing Address
First Line	:	1560 SLOAT BLVD STE 333
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94132-1223
Country	:	US
Telephone Number	:	415-353-9339
Fax Number	:	415-353-3450

Provider Business Practice Location Address
First Line	:	1560 SLOAT BLVD STE 333
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94132-1223
Country	:	US
Telephone Number	:	415-353-9339
Fax Number	:	415-353-3450

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

Provider Enumeration Date	:	04/21/2016
Last Update Date	:	09/23/2025

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