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Organization
TAO TRUNG NGUYEN M.D., INC
Active
Organization
TAO TRUNG NGUYEN M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAO TRUNG NGUYEN M.D (PRESIDENT)
(323) 583-6516
Entity
Organization
Contact information
Practice address
6043 ATLANTIC BLVD., MAYWOOD, CA 90270-3118
(323) 583-6516
(323) 583-0802
Mailing address
P.O. BOX 3780, LA HABRA, CA 90632-3780
(323) 583-6516
(323) 583-0802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00A444561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A444561
—
CA
Enumeration date
10/04/2006
Last updated
05/22/2020
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