Individual
SON C NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
A76999
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A769990
MEDI-CAL
CA
Enumeration date
12/01/2005
Last updated
10/03/2017
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