Doctor Name: | VAN DINH NGUYEN |
NPI Number: | 1578583944 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M/D/ |
License Number: | A39092 |
Business Practice Address: | 7128 Seville Ave Huntington Park, CA - 902554906 |
Business Phone Number: | 3235882186 |
Business Fax Number: | 3235880422 |
Mailing Address: | 7128 Seville Ave, HUNTINGTON PARK |
State: | CA |
Postal Code: | 902554906 |
Phone Number: | 3235882186 |
Fax Number: | 3235880422 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 01/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A39092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |