# NGUYEN DO DUY MD INC

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

## Provider details

- **NPI number:** 1710231535
- **Authorized official:** DR. DUY DO NGUYEN MD (OWNER)
- **Authorized official phone:** (714) 557-2905

## Contact information

- **Practice address:** 11180 WARNER AVE, SUITE 161, FOUNTAIN VALLEY, CA 92708-7501
- **Practice address phone:** (714) 557-2905
- **Practice address fax:** (714) 557-9896
- **Mailing address:** 11180 WARNER AVE, SUITE 161, FOUNTAIN VALLEY, CA 92708-7501
- **Mailing address phone:** (714) 557-2905
- **Mailing address fax:** (714) 557-9896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A39303 | CA | Yes |

## Other

- **Enumeration date:** 10/31/2012
- **Last updated:** 10/31/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A39303A | PTAN | — |