Individual
DOUGLAS LONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27799 MEDICAL CENTER RD STE 310, MISSION VIEJO, CA 92691-6400
(949) 364-5090
Mailing address
27799 MEDICAL CENTER RD STE 310, MISSION VIEJO, CA 92691-6400
(949) 364-5090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A113814
CA
207RG0100X
Gastroenterology Physician
Primary
A113814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
07/30/2008
Last updated
05/12/2022
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