| Dat William Nguyen MD Inc | |
|
6501 La Jolla Blvd La Jolla CA 92037-6016 | |
| (619) 300-2340 | |
| Not Available |
| Full Name | Dat William Nguyen MD Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6501 La Jolla Blvd, La Jolla, California |
| Authorized Official Name and Position | Dat William Nguyen (CEO/ MD) |
| Authorized Official Contact | 6193002340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dat William Nguyen MD Inc Po Box 8005 Rancho Santa Fe CA 92067-8005 Ph: (619) 300-2340 | Dat William Nguyen MD Inc 6501 La Jolla Blvd La Jolla CA 92037-6016 Ph: (619) 300-2340 |
| NPI Number | 1114671799 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 08/02/2023 |
| Certification Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114671799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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