Individual
DR. BAO Q NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2333 W MARCH LN, # A2, STOCKTON, CA 95207-5263
(209) 475-8144
Mailing address
PO BOX 7304, STOCKTON, CA 95267-0304
(209) 475-8144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A92725
CA
207R00000X
Internal Medicine Physician
A92725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A927250
—
CA
Enumeration date
06/15/2006
Last updated
04/20/2022
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