Individual
DR. THAO PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
200 MEDICAL PLZ, 365C, LOS ANGELES, CA 90095-0001
(310) 794-2727
(310) 794-0011
Mailing address
200 MEDICAL PLZ, 365C, LOS ANGELES, CA 90095-0001
(310) 825-8811
(310) 206-9133
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A102447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316083322
—
CA
Enumeration date
01/29/2007
Last updated
09/09/2011
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