| Duc Van Nguyen M.d., Inc | |
|
8748 Valley Blvd Suite H Rosemead CA 91770-1761 | |
| (626) 288-3306 | |
| (626) 288-9444 |
| Full Name | Duc Van Nguyen M.d., Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8748 Valley Blvd, Rosemead, California |
| Authorized Official Name and Position | Duc Van Nguyen (OWNER) |
| Authorized Official Contact | 6262883306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duc Van Nguyen M.d., Inc 8748 Valley Blvd Suite H Rosemead CA 91770-1761 Ph: (626) 288-3306 | Duc Van Nguyen M.d., Inc 8748 Valley Blvd Suite H Rosemead CA 91770-1761 Ph: (626) 288-3306 |
| NPI Number | 1053655027 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Medicare PECOS PAC ID | 4789836453 |
|---|---|
| Medicare Enrollment ID | O20121203000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053655027 | NPI | - | NPPES |
| 00C425461 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C42546 (California) | Primary |
| Provider Name | Duc V. Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518992544 PECOS PAC ID: 6103942990 Enrollment ID: I20100929001206 |
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