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Individual

HIEU S NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1510 S CENTRAL AVE, SUITE 150, GLENDALE, CA 91204-2500
(323) 644-9504
Mailing address
1510 S CENTRAL AVE, SUITE 150, GLENDALE, CA 91204-2500
(323) 644-9504

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A70907
CA
207RI0011X
Interventional Cardiology Physician
A70907
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A709070
CA
Enumeration date
01/20/2006
Last updated
08/31/2011
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