Individual
DR. DUNG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41120 WASHINGTON ST STE 201, BERMUDA DUNES, CA 92203-9596
(760) 360-3193
(760) 360-3194
Mailing address
41120 WASHINGTON ST STE 201, BERMUDA DUNES, CA 92203-9596
(760) 360-3193
(760) 360-3194
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
NA
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E6097
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E6097
CA LICENSE
CA
Enumeration date
07/08/2022
Last updated
07/17/2025
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