# VAN DINH NGUYEN MEDICAL CORP.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1063458503
- **Authorized official:** VAN DINH NGUYEN M.D. (OWNER)
- **Authorized official phone:** (323) 588-2186

## Contact information

- **Practice address:** 7128 SEVILLE AVE, HUNTINGTON PARK, CA 90255-4906
- **Practice address phone:** (323) 588-2186
- **Practice address fax:** (323) 588-0422
- **Mailing address:** 7128 SEVILLE AVE, HUNTINGTON PARK, CA 90255-4906
- **Mailing address phone:** (323) 588-2186
- **Mailing address fax:** (323) 588-0422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A64451 | CA | — |
| 208D00000X | General Practice Physician | A39092 | CA | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 01/19/2010