# JONATHAN T. NGUYEN, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JONATHAN T. NGUYEN, M.D., INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205130762
- **Legal business name:** JONATHAN T. NGUYEN, M.D., INC.
- **Authorized official:** JONATHAN NGUYEN M.D. (CEO)
- **Authorized official phone:** (562) 591-3222

## Contact information

- **Practice address:** 555 E PACIFIC COAST HWY, STE 102, LONG BEACH, CA 90806-5576
- **Practice address phone:** (562) 591-3222
- **Mailing address:** 2980 N BEVERLY GLEN CIR, STE 301, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 12/27/2010
- **Last updated:** 03/01/2011