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Individual

DANH TIEN NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4334 CENTRAL AVE, RIVERSIDE, CA 92506-2918
(951) 682-7580
(951) 682-1580
Mailing address
1510 COTNER AVE, LOS ANGELES, CA 90025-3303
(310) 445-2800
(310) 445-2980

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
61259
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
A60382
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A603820
CA
01
RHL141511
DEPT OF HEALTH SERVICES
CA
Enumeration date
10/23/2006
Last updated
03/07/2023
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