Organization
DAT MANH NGUYEN M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAT MANH NGUYEN M.D. (PRESIDENT)
(714) 531-2548
Entity
Organization
Contact information
Practice address
14536 BROOKHURST ST, SUITE #102, WESTMINSTER, CA 92683-5787
(714) 531-2548
(714) 531-2450
Mailing address
14536 BROOKHURST ST, SUITE #102, WESTMINSTER, CA 92683-5787
(714) 531-2548
(714) 531-2450
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
A36056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A360562
—
CA
Enumeration date
08/13/2006
Last updated
08/04/2025
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