Individual
BRIAN VAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695-5169
(530) 668-2600
(530) 668-4839
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A15509
CA
Other
Enumeration date
05/03/2014
Last updated
07/21/2022
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