Individual
DR. KHANH TRUONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 N PACIFIC COAST HWY, SUITE 928, REDONDO BEACH, CA 90277-2870
(310) 374-2145
Mailing address
PO BOX 661297, ARCADIA, CA 91066-1297
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A96169
CA
207R00000X
Internal Medicine Physician
230691
NY
207R00000X
Internal Medicine Physician
A96169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A961690
—
CA
Enumeration date
10/03/2006
Last updated
06/18/2008
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