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NPI Code Detail

MEDICARE: THUAN T NGUYEN A PROFESSIONAL CORPORATION

MEDICARE: THUAN T NGUYEN A PROFESSIONAL CORPORATION
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
1174400000XSpecialistA55079CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A55079OTHERCAMEDICAL LICENSE NUMBER

General Provider Information

NPI Number : 1629316856
Entity Type Code : Organization
Provider Name (Legal Business Name) : THUAN T NGUYEN A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 19121 BROOKHURST ST STE 201
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-2545
Country : US
Telephone Number : 714-444-4011
Fax Number : 714-444-2668
Provider Business Practice Location Address
First Line : 19121 BROOKHURST ST STE 201
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-2545
Country : US
Telephone Number : 714-444-4011
Fax Number : 714-444-2668
Authorized Official
Title or Position : PRESIDENT
Name : THUAN T NGUYEN
Credential : M.D.
Telephone Number : 714-444-4011
Provider Enumeration Date : 01/23/2013
Last Update Date : 01/15/2025

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Directions to “THUAN T NGUYEN A PROFESSIONAL CORPORATION ” Practice Location

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