MEDICARE: DR. DINH T. 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	174400000X	Specialist	A122677	CA
2	208200000X	Plastic Surgery Physician	A122677	CA

General Provider Information

NPI Number	:	1922259159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DINH T. NGUYEN MD

Provider Business Mailing Address
First Line	:	9681 GARDEN GROVE BLVD STE 104
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92844-1548
Country	:	US
Telephone Number	:	714-462-6062
Fax Number	:	714-462-6072

Provider Business Practice Location Address
First Line	:	9681 GARDEN GROVE BLVD STE 104
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92844-1548
Country	:	US
Telephone Number	:	714-462-6062
Fax Number	:	714-462-6072

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

Provider Enumeration Date	:	10/07/2008
Last Update Date	:	08/15/2025

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