Individual
MR. THANH TRUNG T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MSPAS, MPH, MS
Contact information
Practice address
2052 MCGEE AVE, BERKELEY, CA 94703-1417
(510) 387-8369
Mailing address
2344 6TH ST, BERKELEY, CA 94710-2412
(510) 981-4100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51629
CA
Other
Enumeration date
06/02/2014
Last updated
02/25/2022
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