Individual
JOSEPHINE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39000 BOB HOPE DR DEPT OF, RANCHO MIRAGE, CA 92270-3221
(949) 263-8620
(800) 409-7005
Mailing address
20 EXECUTIVE PARK STE 155, IRVINE, CA 92614-4733
(949) 263-8620
(800) 409-7005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A75825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A758250
BCBS OF CA
CA
05
—
1184781114
—
CA
Enumeration date
01/02/2007
Last updated
04/25/2014
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