Individual
FILBERT NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 COTTONWOOD ST STE 202, WOODLAND, CA 95695-5131
(530) 668-2600
(530) 668-9591
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10041526
TX
207W00000X
Ophthalmology Physician
2017021212
MO
207W00000X
Ophthalmology Physician
Primary
A155532
CA
Other
Enumeration date
06/01/2011
Last updated
10/30/2018
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