Organization
THAO NGUYEN M D INC
Active
Other names
THAO NGUYEN MD INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAO P NGUYEN M.D. (OWNER/MEDICAL DOCTOR)
(858) 610-9393
Entity
Organization
Contact information
Practice address
2406 ULRIC ST, SAN DIEGO, CA 92111-6040
(858) 278-9393
(858) 278-5393
Mailing address
PO BOX 420988, SAN DIEGO, CA 92142-0988
(858) 278-9393
(858) 278-5393
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G81689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G816890
—
CA
Enumeration date
05/12/2017
Last updated
06/06/2024
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