Individual
DR. CHARLES NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12523 LIMONITE AVE STE 400, EASTVALE, CA 91752-3666
(951) 398-6868
(951) 221-8501
Mailing address
3660 PARK SIERRA DR STE 203, RIVERSIDE, CA 92505-3071
(951) 687-3400
(951) 687-7630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A124779
CA
207RN0300X
Nephrology Physician
Primary
A124779
CA
Other
Enumeration date
03/05/2013
Last updated
08/09/2021
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