Individual
BAO ANH LE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 E VIA VERDE DR, FRESNO, CA 93730-8806
(559) 478-7017
(559) 433-0443
Mailing address
1441 E VIA VERDE DR, FRESNO, CA 93730-8806
(559) 478-7017
(559) 433-0443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A89126
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A891260
—
CA
Enumeration date
08/05/2006
Last updated
01/19/2022
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