MEDICARE: DR. DINH NHATTON 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
1	2086S0127X	Trauma Surgery Physician	A76328	CA

General Provider Information

NPI Number	:	1922116987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DINH NHATTON NGUYEN M.D.

Provider Business Mailing Address
First Line	:	6280 STONERIDGE MALL RD # 212
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-3255
Country	:	US
Telephone Number	:	209-617-6663
Fax Number	:	925-295-4767

Provider Business Practice Location Address
First Line	:	1800 HARRISON ST FL 7
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-3466
Country	:	US
Telephone Number	:	510-625-6262
Fax Number	:	510-625-6226

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	02/11/2022

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