Individual
CHAU M T NGUYEN-THIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12742 LIMONITE AVE, EASTVALE, CA 92880-9630
(951) 739-2717
Mailing address
12742 LIMONITE AVE, EASTVALE, CA 92880-9630
(951) 739-2717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G79548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730180415
GROUP NPI #
—
01
—
ZZZ31887Z
GROUP SITE #
—
Enumeration date
11/16/2005
Last updated
02/25/2020
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