| Lieu S. Nguyen, M.d., A Professional Corporation | |
|
15032 Prairie Ave Hawthorne CA 90250-8316 | |
| (310) 675-7343 | |
| (310) 675-1951 |
| Full Name | Lieu S. Nguyen, M.d., A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 15032 Prairie Ave, Hawthorne, California |
| Authorized Official Name and Position | Lieu Sanh Nguyen (PHYSICIAN/CEO) |
| Authorized Official Contact | 3106757343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lieu S. Nguyen, M.d., A Professional Corporation 15032 Prairie Ave Hawthorne CA 90250-8316 Ph: (310) 675-7343 | Lieu S. Nguyen, M.d., A Professional Corporation 15032 Prairie Ave Hawthorne CA 90250-8316 Ph: (310) 675-7343 |
| NPI Number | 1215021167 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215021167 | NPI | - | NPPES |
| 00A432170 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A43217 (California) | Primary |
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