Individual
DR. CUONG ROBERT NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24853 ALESSANDRO BLVD STE 4, MORENO VALLEY, CA 92553-6102
(951) 571-8518
(877) 778-9427
Mailing address
625 FAIR OAKS AVE STE 270, SOUTH PASADENA, CA 91030-5801
(626) 346-2455
(626) 639-3005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A85516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPROVED
MEDI-CAL
CA
01
—
P01282959/DU4034
RAILROAD MEDICARE
CA
Enumeration date
08/15/2005
Last updated
05/07/2018
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