Individual
DR. ETHAN-QUAN H NGUYEN
Inactive
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4336 MARKET ST, RIVERSIDE, CA 92501-3518
(951) 682-9293
Mailing address
4336 MARKET ST, RIVERSIDE, CA 92501-3518
(951) 682-9293
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
G77748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030454716
TAX ID
CA
Enumeration date
08/15/2005
Last updated
08/01/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us