Organization
DAT Q NGUYEN, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAT NGUYEN MD (OWNER)
(818) 618-6850
Entity
Organization
Contact information
Practice address
12865 MAIN ST STE 105, GARDEN GROVE, CA 92840-8205
(800) 560-9999
Mailing address
9891 FREDERICK CIR, HUNTINGTON BEACH, CA 92646-3641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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