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NPI Code Detail

MEDICARE: QUY VAN NGUYEN MD

MEDICARE: QUY VAN NGUYEN MD
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 PhysicianA44652CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366400145
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUY VAN NGUYEN MD
Provider Business Mailing Address
First Line : 9126 VALLEY BLVD
Second Line : SUITE B
City : ROSEMEAD
State : CA
Zip : 91770-1987
Country : US
Telephone Number : 626-573-9003
Fax Number : 626-573-0641
Provider Business Practice Location Address
First Line : 9126 VALLEY BLVD
Second Line : SUITE B
City : ROSEMEAD
State : CA
Zip : 91770-1987
Country : US
Telephone Number : 626-573-9003
Fax Number : 626-573-0641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 07/19/2011

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Directions to “ QUY VAN NGUYEN MD” Practice Location

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