Organization Name: | HAI DONG NGUYEN, M.D., CORP. |
NPI Number: | 1386080554 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HAI DONG NGUYEN (PHYSICIAN) |
Mailing Address: | 10402 Westminster Ave Suit 100b Garden Grove |
State: | CA US |
Postal Code: | 928434862 |
Phone Number: | 7146753937 |
Fax Number: | 7148204980 |
NPI Enumeration Date: | 05/15/2013 |
NPI Last Update Date: | 06/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A114137 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |