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Individual
DR. PHONG QUOC NGUYEN
Active
Individual
DR. PHONG QUOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11932T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202830204
NVA
CA
01
—
204344
EYEMED
CA
01
—
261324273
MARCH VISION
CA
01
—
261324273
SUPERIOR VISION
—
01
—
6268104535
BLUE SHIELD OF CALIFORNIA
CA
01
—
P041517
SPECTERA
CA
05
—
SD0119320
—
CA
Enumeration date
09/13/2005
Last updated
11/24/2009
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