Individual
DR. DIANE THUY TU NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10362 BOLSA AVENUE, BOLSA MEDICAL GROUP, WESTMINSTER, CA 92683-6763
(714) 531-2091
(714) 531-1403
Mailing address
10362 BOLSA AVENUE, BOLSA MEDICAL GROUP, WESTMINSTER, CA 92683-6763
(714) 531-2091
(714) 531-1403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A84273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A842730
—
CA
Enumeration date
06/26/2006
Last updated
12/12/2011
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