Doctor Name: | DR. DUC NGUYEN |
NPI Number: | 1164843892 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME45868 |
Business Practice Address: | 3600 Guard Rd Lompoc, CA - 934362705 |
Business Phone Number: | 8057364154 |
Business Fax Number: | |
Mailing Address: | 16915 Edgewater Ln, HUNTINGTON BEACH |
State: | CA |
Postal Code: | 926494205 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/24/2013 |
NPI Last Update Date: | 12/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME45868 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |