Individual
DR. KHOI N NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15982 QUANTICO RD, SUITE F, APPLE VALLEY, CA 92307-1382
(760) 242-3768
(760) 242-5601
Mailing address
PO BOX 3555, APPLE VALLEY, CA 92307-0070
(760) 242-3768
(760) 242-5601
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A36682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A366820
—
CA
01
—
110013433
RAILROAD MEDICARE
—
Enumeration date
03/18/2006
Last updated
09/30/2010
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