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Organization
T D NGUYEN, MD, INC
Active
Organization
T D NGUYEN, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANG D NGUYEN M.D. (MD/CEO)
(951) 679-2358
Entity
Organization
Contact information
Practice address
27830 BRADLEY RD, SUN CITY, CA 92586-2201
(951) 679-2358
(951) 672-8599
Mailing address
27830 BRADLEY RD, SUN CITY, CA 92586-2201
(951) 679-2358
(951) 672-8599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A78238
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A780380
BLUE SHIELD
CA
01
—
00A782380
BLUE CROSS
CA
05
—
00A782380
—
CA
01
—
ZZZ02675Z
LEGACY
CA
Enumeration date
09/13/2006
Last updated
06/17/2011
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