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NPI Code Detail

MEDICARE: PHUONG MINH NGUYEN

MEDICARE:   PHUONG MINH NGUYEN
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
1363A00000XPhysician AssistantCA

General Provider Information

NPI Number : 1275105694
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHUONG MINH NGUYEN
Provider Business Mailing Address
First Line : 1055 E COLORADO BLVD STE 560
Second Line :
City : PASADENA
State : CA
Zip : 91106-2380
Country : US
Telephone Number : 818-241-6780
Fax Number : 818-241-6853
Provider Business Practice Location Address
First Line : 5832 ABBEY DR
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-2402
Country : US
Telephone Number : 714-622-9332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2021
Last Update Date : 01/21/2026

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Directions to “ PHUONG MINH NGUYEN ” Practice Location

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