Individual
HIEU NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
565 N MOUNT VERNON AVE, SAN BERNARDINO, CA 92411-2661
(909) 884-9091
Mailing address
565 N MOUNT VERNON AVE, SAN BERNARDINO, CA 92411-2661
(909) 884-9091
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA52758
CA
Other
Enumeration date
09/16/2015
Last updated
01/04/2017
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