Individual
TRUNG TAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.,M.B.A.
Contact information
Practice address
782 MEDICAL CENTER DR E # 212, CLOVIS, CA 93611-6889
(559) 451-3676
(559) 451-3680
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
20A10394
CA
207VX0201X
Gynecologic Oncology Physician
Primary
20A10394
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A10394
CA STATE LICENSE
CA
Enumeration date
05/06/2007
Last updated
10/09/2020
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