Individual
DR. ANH TRONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 N SEPULVEDA BLVD, SUITE 210, MANHATTAN BEACH, CA 90266-6861
(310) 379-2134
Mailing address
PO BOX 5011, SHERMAN OAKS, CA 91413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A111276
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253802
MEDICAL LICENSE
NY
01
—
A111276
MEDICAL LICENSE
CA
Enumeration date
07/30/2007
Last updated
08/30/2010
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