Individual
DERRICK SANG-VINH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2496 BAUER ROAD, SAN DIEGO, CA 92121
(619) 881-9011
Mailing address
2496 BAUER ROAD, SAN DIEGO, CA 92126
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102208113
VA
Other
Enumeration date
05/19/2022
Last updated
05/14/2024
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