Organization
NGUYEN DO DUY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUY DO NGUYEN MD (OWNER)
(714) 557-2905
Entity
Organization
Contact information
Practice address
11180 WARNER AVE, SUITE 161, FOUNTAIN VALLEY, CA 92708-7501
(714) 557-2905
(714) 557-9896
Mailing address
11180 WARNER AVE, SUITE 161, FOUNTAIN VALLEY, CA 92708-7501
(714) 557-2905
(714) 557-9896
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A39303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A39303A
PTAN
—
Enumeration date
10/31/2012
Last updated
10/31/2012
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