Individual
DR. TAN DUY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
333 ESTUDILLO AVE, SUITE A, SAN LEANDRO, CA 94577-4717
(510) 351-1411
(510) 351-1412
Mailing address
136 FARRELLY DR, SAN LEANDRO, CA 94577-1619
(510) 351-1411
(510) 351-1412
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E3377
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E33770
—
CA
Enumeration date
03/02/2007
Last updated
07/09/2007
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