# THANG PHUOC NGUYEN, MD, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1477730166
- **Authorized official:** THANG PHUOC NGUYEN M.D. (OWNER)
- **Authorized official phone:** (213) 386-0214

## Contact information

- **Practice address:** 1271 S UNION AVE, LOS ANGELES, CA 90015-2043
- **Practice address phone:** (213) 386-0214
- **Practice address fax:** (213) 386-0215
- **Mailing address:** 1271 S UNION AVE, LOS ANGELES, CA 90015-2043
- **Mailing address phone:** (213) 386-0214
- **Mailing address fax:** (213) 386-0215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A66089 | CA | Yes |

## Other

- **Enumeration date:** 01/25/2008
- **Last updated:** 01/25/2008