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NPI Code Detail

MEDICARE: DR. JOHN D NGUYEN M.D.

MEDICARE: DR. JOHN D 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
1207V00000XObstetrics & Gynecology PhysicianA109246CA

General Provider Information

NPI Number : 1306078522
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN D NGUYEN M.D.
Provider Business Mailing Address
First Line : 1328 S MISSION RD
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-4006
Country : US
Telephone Number : 760-451-4752
Fax Number :
Provider Business Practice Location Address
First Line : 1328 S MISSION RD
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-4006
Country : US
Telephone Number : 760-451-4752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2009
Last Update Date : 04/26/2013

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