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NPI Code Detail

MEDICARE: DR. THOMAS X. NGUYEN M.D.

MEDICARE: DR. THOMAS X. 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
1207X00000XOrthopaedic Surgery PhysicianA172071CA

General Provider Information

NPI Number : 1811307069
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS X. NGUYEN M.D.
Provider Business Mailing Address
First Line : 5210 VAN GOGH LN
Second Line :
City : BONITA
State : CA
Zip : 91902-1912
Country : US
Telephone Number : 202-812-2498
Fax Number :
Provider Business Practice Location Address
First Line : 3750 CONVOY ST STE 201
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-3770
Country : US
Telephone Number : 858-278-8031
Fax Number : 858-278-1708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2014
Last Update Date : 12/04/2022

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