Organization
BRIAN L NGUYEN MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L NGUYEN MD (MD/OWNER)
(951) 301-9339
Entity
Organization
Contact information
Practice address
29798 HAUN ROAD, SUITE 108, SUN CITY, CA 92586-6541
(951) 301-9339
(951) 301-3980
Mailing address
PO BOX 991, SUN CITY, CA 92586-0991
(951) 301-9339
(951) 301-3980
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A53427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A534270
31565 RANCHO PUEBLE STE 102 TEMECULA, CA 92592 MEDICARE NHIC
CA
05
—
00A534270
—
CA
01
—
00A534271
MEDICARE NHIC 31565 RANCHO PUEBLO STE 102 TEMECULA CA 92592
CA
05
—
00A534271
—
CA
01
—
110219240
RAILROAD MEDICARE
—
01
—
DN6409
RAILROAD MEDICARE
CA
05
—
G64785
—
CA
Enumeration date
12/22/2006
Last updated
04/20/2012
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