| Tan Van Nguyen, M.d., Inc | |
| 
					9646 Garvey Ave Ste 101 S El Monte CA 91733-4600  | |
| (626) 450-0777 | |
| (626) 450-0776 | 
| Full Name | Tan Van Nguyen, M.d., Inc | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | 9646 Garvey Ave Ste 101, S El Monte, California | 
| Authorized Official Name and Position | Tan Van Nguyen (AUTHORIZED OFFICIAL) | 
| Authorized Official Contact | 6264500777 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tan Van Nguyen, M.d., Inc 9646 Garvey Ave Ste 101 S El Monte CA 91733-4600 Ph: (626) 450-0777  | Tan Van Nguyen, M.d., Inc 9646 Garvey Ave Ste 101 S El Monte CA 91733-4600 Ph: (626) 450-0777  | 
| NPI Number | 1437180395 | 
|---|---|
| Provider Enumeration Date | 07/06/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437180395 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 00A053027 (California) | Primary | 
Siu Wan Wong, M.d.,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9324 Garvey Ave, Unit N, S El Monte, CA 91733 Phone: 626-575-7703 Fax: 626-575-7712  | |
Tan Van Nguyen Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9646 Garvey Ave, Suite#101, S El Monte, CA 91733 Phone: 626-450-0777 Fax: 626-450-0776  |