# THAO NGUYEN M D INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THAO NGUYEN MD INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558898171
- **Authorized official:** DR. THAO P NGUYEN M.D. (OWNER/MEDICAL DOCTOR)
- **Authorized official phone:** (858) 610-9393

## Contact information

- **Practice address:** 2406 ULRIC ST, SAN DIEGO, CA 92111-6040
- **Practice address phone:** (858) 278-9393
- **Practice address fax:** (858) 278-5393
- **Mailing address:** PO BOX 420988, SAN DIEGO, CA 92142-0988
- **Mailing address phone:** (858) 278-9393
- **Mailing address fax:** (858) 278-5393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G81689 | CA | Yes |

## Other

- **Enumeration date:** 05/12/2017
- **Last updated:** 06/06/2024