MEDICARE: VUONG H. 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
1	207R00000X	Internal Medicine Physician	A69222	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	:	1730224718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VUONG H. NGUYEN, MD, INC

Provider Business Mailing Address
First Line	:	16079 MESQUITE CIR
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-1513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10141 WESTMINSTER AVE
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-4788
Country	:	US
Telephone Number	:	714-467-4321
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VUONG H NGUYEN
Credential	:	M.D.
Telephone Number	:	714-334-3324

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	08/22/2020

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