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NPI Code Detail

MEDICARE: BAO-THU THI NGUYEN M.D.

MEDICARE:   BAO-THU THI 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
1207W00000XOphthalmology PhysicianA62609CA

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 : 1538137666
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAO-THU THI NGUYEN M.D.
Provider Business Mailing Address
First Line : 4300 LONG BEACH BLVD STE 400
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2008
Country : US
Telephone Number : 562-591-7700
Fax Number : 562-591-1311
Provider Business Practice Location Address
First Line : 4300 LONG BEACH BLVD STE 400
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2008
Country : US
Telephone Number : 562-591-7700
Fax Number : 562-591-7700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 02/27/2024

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Directions to “ BAO-THU THI NGUYEN M.D.” Practice Location

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