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Organization

DUC NGUYEN MD CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DUC NGUYEN M.D. (OWNER)
(805) 520-1577
Entity
Organization

Contact information

Practice address
1177 ROADRUNNER WAY, SIMI VALLEY, CA 93065-3159
(805) 520-1577
(805) 520-8091
Mailing address
1177 ROADRUNNER WAY, SIMI VALLEY, CA 93065-3159
(805) 520-1577
(805) 520-8091

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A53620
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A536201
CA
Enumeration date
10/04/2007
Last updated
03/29/2018
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