Individual
DR. THONG THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1587
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1587
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
BP2-0019923
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20A11754
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
3974
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528263175
BCBS
IA
05
—
1528263175
—
IA
01
—
31802
BCBS
NE
Enumeration date
06/15/2007
Last updated
05/07/2025
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