Organization
DEREK NGUYEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK HOA THANH NGUYEN MD (OWNER)
(951) 683-6830
Entity
Organization
Contact information
Practice address
4435 BROCKTON AVE STE B, RIVERSIDE, CA 92501-4004
(951) 683-6830
(951) 228-9458
Mailing address
4435 BROCKTON AVE STE B, RIVERSIDE, CA 92501-4004
(951) 683-6830
(951) 228-9458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A87744
CA
Other
Enumeration date
03/07/2011
Last updated
09/07/2022
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