Doctor Name: | DR. VINH-KHIEM NGUYEN-PHUOC |
NPI Number: | 1679532162 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G57301 |
Business Practice Address: | 9500 Bolsa Ave Ste P Westminster, CA - 926835943 |
Business Phone Number: | 7147754400 |
Business Fax Number: | 7147750149 |
Mailing Address: | 1245 Wilshire Blvd, Ste 703 LOS ANGELES |
State: | CA |
Postal Code: | 900174807 |
Phone Number: | 2139777422 |
Fax Number: | 2132508945 |
NPI Enumeration Date: | 03/22/2006 |
NPI Last Update Date: | 12/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G57301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |