Individual
DR. KEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1851 N RIVERSIDE AVE, RIALTO, CA 92376-8069
(909) 874-2371
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A8914
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX69140
—
CA
Enumeration date
03/24/2006
Last updated
02/19/2026
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