Individual
DR. HOANVU NGOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 MDG/SGGE, 101 BODIN CIR, TRAVIS AFB, CA 94535-1800
(707) 423-3825
Mailing address
4150 V ST STE 2100, SACRAMENTO, CA 95817-1460
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207P00000X
Emergency Medicine Physician
Primary
DR.0063822
CO
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
DR.0063822
CO
Other
Enumeration date
05/11/2017
Last updated
03/30/2023
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