Individual
DAT WILLIAM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5565 GROSSMONT CENTER DR STE 229, LA MESA, CA 91942-3026
(858) 349-3760
(619) 262-8964
Mailing address
PO BOX 8005, RANCHO SANTA FE, CA 92067-8005
(858) 349-3760
(619) 262-8964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A83262
CA
Other
Enumeration date
11/15/2005
Last updated
08/02/2023
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