| Organization Name: | DR LOAN NGUYEN INC |
| NPI Number: | 1033364070 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LOAN P. NGUYEN (NEUROLOGY) |
| Mailing Address: | 1817 Shaw Ave Ste 102 Clovis |
| State: | CA US |
| Postal Code: | 936114069 |
| Phone Number: | 5593259060 |
| Fax Number: | 5593259055 |
| NPI Enumeration Date: | 11/18/2008 |
| NPI Last Update Date: | 11/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 20A6198 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |