Individual
ANDY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1900 E 4TH ST, SANTA ANA, CA 92705-3910
(714) 967-4766
(714) 967-4548
Mailing address
837 POLARIS DR, TUSTIN, CA 92782-1721
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A14232
CA
Other
Enumeration date
05/13/2014
Last updated
12/03/2021
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