Organization
DAVID H NGUYEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H NGUYEN MD (CEO)
(951) 679-2358
Entity
Organization
Contact information
Practice address
27830 BRADLEY RD, SUN CITY, CA 92586-2239
(951) 679-2358
(951) 672-8599
Mailing address
27830 BRADLEY RD, SUN CITY, CA 92586-2239
(951) 679-2358
(951) 672-8599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A70948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A709480
BLUE SHIELD
CA
05
—
00A709480
—
CA
01
—
A70948
LICENSE
CA
01
—
ZZZ05838Z
LEGACY
CA
Enumeration date
07/20/2005
Last updated
06/17/2011
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