MEDICARE: DR. MINH NGOC 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
1	207RC0000X	Cardiovascular Disease Physician	G59442	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1528166105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MINH NGOC NGUYEN MD

Provider Business Mailing Address
First Line	:	411 E PACIFIC COAST HWY
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-6218
Country	:	US
Telephone Number	:	562-599-0981
Fax Number	:	562-599-0996

Provider Business Practice Location Address
First Line	:	411 E PACIFIC COAST HWY
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-6218
Country	:	US
Telephone Number	:	562-599-0981
Fax Number	:	562-599-0996

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/14/2016

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