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NPI Code Detail

MEDICARE: DAT Q NGUYEN, MD, INC

MEDICARE: DAT Q 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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1811530686
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAT Q NGUYEN, MD, INC
Provider Business Mailing Address
First Line : 9891 FREDERICK CIR
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-3641
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12865 MAIN ST STE 105
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92840-8205
Country : US
Telephone Number : 800-560-9999
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAT NGUYEN
Credential : MD
Telephone Number : 818-618-6850
Provider Enumeration Date : 10/23/2019
Last Update Date : 10/23/2019

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Directions to “DAT Q NGUYEN, MD, INC ” Practice Location

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