| Amy Ngoc Nguyen, MD | |
|
2720 N Harbor Blvd Ste 205, Fullerton, CA 92835-2609 | |
| (714) 882-5525 | |
| (714) 882-5078 |
| Full Name | Amy Ngoc Nguyen |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 2720 N Harbor Blvd Ste 205, Fullerton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548274996 | NPI | - | NPPES |
| GR0094190 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A80879 (California) | Secondary |
| 207N00000X | Dermatology | A80879 (California) | Primary |
| Entity Name | Orange Coast Dermatology, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790937647 PECOS PAC ID: 3274699442 Enrollment ID: O20090313000181 |
| Entity Name | Diakoniamed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699265868 PECOS PAC ID: 7416205372 Enrollment ID: O20180808003922 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Ngoc Nguyen, MD 8970 Warner Ave, Fountain Valley, CA 92708 Ph: (714) 848-7757 | Amy Ngoc Nguyen, MD 2720 N Harbor Blvd Ste 205, Fullerton, CA 92835-2609 Ph: (714) 882-5525 |
Dr. Helia Eragi, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Rd, Suite 210, Fullerton, CA 92835 Phone: 714-879-9936 | |
Khaled Mahmoud Hassan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2720 N Harbor Blvd, Ste 220, Fullerton, CA 92835 Phone: 714-578-8527 Fax: 714-578-8570 | |
Patrick Robert Dahl, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Road, Suite 245, Fullerton, CA 92835 Phone: 714-525-3500 Fax: 714-525-3588 | |
Kristina A Holmkvist, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Road, Suite 245, Fullerton, CA 92835 Phone: 714-525-3500 Fax: 714-525-3588 | |
Dr. Brian Somoano, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835 Phone: 714-626-8610 Fax: 714-626-8655 | |
Dr. Robert Rosenberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2720 N Harbor Blvd, Suite 210, Fullerton, CA 92835 Phone: 714-626-6310 Fax: 714-626-6320 | |
Stacy Eleanor Whitelock, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835 Phone: 714-626-8650 Fax: 714-626-8696 |