MEDICARE: DR. TUAN 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	207RG0100X	Gastroenterology Physician	G68761	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	:	1730270380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TUAN NGUYEN MD

Provider Business Mailing Address
First Line	:	PO BOX 420988
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92142-0988
Country	:	US
Telephone Number	:	619-563-4040
Fax Number	:	619-563-1204

Provider Business Practice Location Address
First Line	:	4141 FAIRMOUNT AVE
Second Line	:	SUITE #201
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-1609
Country	:	US
Telephone Number	:	858-278-5293
Fax Number	:	619-278-5393

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	02/02/2009

Similar Medicare Providers

1336353721 — LA MAESTRA FAMILY CLINIC
Practice Location Address:

4060 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1609

Practice Phone: 619-280-1105
Practice Fax: 619-284-4731

1124205430 — LA MAESTRA FAMILY CLINIC
Practice Location Address:

4060 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1609

Practice Phone: 619-584-1612
Practice Fax:

1497932701 — LA MAESTRA FAMILY CLINIC
Practice Location Address:

4185 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1609

Practice Phone: 619-280-1105
Practice Fax: 619-285-8134

1033396346 — LA MAESTRA FAMILY CLINIC
Practice Location Address:

4185 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1609

Practice Phone: 619-584-1612
Practice Fax:

1154569986 — TUAN NGUYEN, M.D., INC
Practice Location Address:

4141 FAIRMOUNT AVE , SUITE #201
SAN DIEGO, CA
92105-1609

Practice Phone: 619-563-4040
Practice Fax: 619-563-1204

1437478351 — LA MAESTRA FAMILY CLINIC, INC
Practice Location Address:

4185 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1609

Practice Phone: 619-280-1105
Practice Fax: 619-285-8134

Directions to “ DR. TUAN NGUYEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.