Individual
DR. CU Q NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
877 OAK PARK BLVD, PISMO BEACH, CA 93449-3292
(805) 474-8450
(805) 474-8454
Mailing address
1400 E CHURCH ST, MEDICAL STAFF OFFICE, SANTA MARIA, CA 93454
(805) 739-3114
(805) 739-3502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A63457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB219190
MEDICARE ID
CA
Enumeration date
12/13/2006
Last updated
10/08/2020
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