Individual
DR. AN DUY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19582 BEACH BLVD, STE 212, HUNTINGTON BEACH, CA 92648-2996
(714) 252-9415
(714) 963-8407
Mailing address
1043 ELM AVENUE, STE 104, LONG BEACH, CA 90813-3244
(562) 590-0345
(562) 437-8139
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A78574
CA
207RH0003X
Hematology & Oncology Physician
Primary
A78574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A785740
—
CA
Enumeration date
05/31/2005
Last updated
01/09/2012
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