# DR LOAN NGUYEN INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033364070
- **Authorized official:** DR. LOAN P. NGUYEN D.O (NEUROLOGY)
- **Authorized official phone:** (559) 325-9060

## Contact information

- **Practice address:** 1817 SHAW AVE STE 102, CLOVIS, CA 93611-4069
- **Practice address phone:** (559) 325-9060
- **Practice address fax:** (559) 325-9055
- **Mailing address:** PO BOX 1981, CLOVIS, CA 93613-1981
- **Mailing address phone:** (559) 325-9060
- **Mailing address fax:** (559) 325-9055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 20A6198 | CA | Yes |

## Other

- **Enumeration date:** 11/18/2008
- **Last updated:** 11/09/2009