Doctor Name: | DR. MINH QUANG NGUYEN |
NPI Number: | 1336111251 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 20A7727 |
Business Practice Address: | 5575 Ruffin Rd Suite 100 San Diego, CA - 921231380 |
Business Phone Number: | 8582772744 |
Business Fax Number: | |
Mailing Address: | 1882 Cabernet Dr, CHULA VISTA |
State: | CA |
Postal Code: | 919131267 |
Phone Number: | 6193976832 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A7727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |