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NPI Code Detail

MEDICARE: NGOC TUAN NGUYEN MD INC

MEDICARE: NGOC TUAN NGUYEN MD INC
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
1207RC0000XCardiovascular Disease PhysicianA69594CA

General Provider Information

NPI Number : 1518117217
Entity Type Code : Organization
Provider Name (Legal Business Name) : NGOC TUAN NGUYEN MD INC
Provider Business Mailing Address
First Line : 10362 GARVEY AVE
Second Line :
City : EL MONTE
State : CA
Zip : 91733-2136
Country : US
Telephone Number : 323-268-2200
Fax Number :
Provider Business Practice Location Address
First Line : 1701 SANTA ANITA AVE
Second Line :
City : SOUTH EL MONTE
State : CA
Zip : 91733-3411
Country : US
Telephone Number : 626-579-7777
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : NGOC TUAN NGUYEN
Credential : MD
Telephone Number : 323-268-2200
Provider Enumeration Date : 09/30/2008
Last Update Date : 09/30/2008

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