MEDICARE: NGUYEN MEDICAL 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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1700744307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NGUYEN MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	5069 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3348
Country	:	US
Telephone Number	:	619-583-8705
Fax Number	:	619-583-8701

Provider Business Practice Location Address
First Line	:	5069 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3348
Country	:	US
Telephone Number	:	619-583-8705
Fax Number	:	619-583-8701

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. VI TUONG THI NGUYEN
Credential	:	DO
Telephone Number	:	714-768-7271

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “NGUYEN MEDICAL CORPORATION ” Practice Location

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