Individual
TIEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4901 CENTENNIAL PLAZA WAY, BAKERSFIELD, CA 93312-2011
(661) 588-1150
(661) 241-4052
Mailing address
4901 CENTENNIAL PLAZA WAY, BAKERSFIELD, CA 93312-2011
(661) 588-1150
(661) 241-4052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A91766
CA
208600000X
Surgery Physician
A91766
CA
2086S0129X
Vascular Surgery Physician
Primary
A91766
CA
Other
Enumeration date
07/31/2006
Last updated
06/02/2011
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