Individual
DR. HUY DUC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1541 N CHINA LAKE BLVD, RIDGECREST, CA 93555-2606
(760) 446-3800
(760) 446-3899
Mailing address
1541 N CHINA LAKE BLVD, RIDGECREST, CA 93555-2606
(760) 446-3800
(760) 446-3899
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E41280
—
CA
01
—
000E41290
BLUE SHIELD
—
01
—
0616650001
DME
—
01
—
480030266
RAILROAD MEDICARE
—
01
—
666611
AHI HEALTH LINK
—
01
—
93555B112
WPS TRICARE
—
01
—
CA0103
JOHN DEERE
—
01
—
E4129
IMG MEDI-CAL MANAGED CARE
—
Enumeration date
05/27/2005
Last updated
03/07/2023
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