Individual
DR. TUAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4141 FAIRMOUNT AVE, SUITE #201, SAN DIEGO, CA 92105-1609
(858) 278-5293
(619) 278-5393
Mailing address
PO BOX 420988, SAN DIEGO, CA 92142-0988
(619) 563-4040
(619) 563-1204
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G68761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G687611
—
CA
Enumeration date
09/27/2006
Last updated
02/02/2009
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