Individual
DR. TAO T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6043 ATLANTIC BLVD, MAYWOOD, CA 90270-3118
(323) 583-6516
(323) 583-0802
Mailing address
PO BOX 3780, LA HABRA, CA 90632-3780
(323) 583-6516
(323) 583-0802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
00A444561
CA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A44456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861587073
PEDIATRICS
CA
05
—
A444561
—
CA
Enumeration date
07/19/2006
Last updated
05/13/2020
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