Individual
DIEU THU KHOA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1212 PICO STREET, SAN FERNANDO, CA 91340
(818) 837-6969
Mailing address
14445 OLIVE VIEW DR NORTH ANNEX, OLIVE VIEW UCLA MEDICAL CENTER, SYLMAR, CA 91342
(818) 364-3632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G080843
CA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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