Individual
BANG THE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
(714) 447-5027
Mailing address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
(714) 992-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO21851
OR
208M00000X
Hospitalist Physician
Primary
20A9726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110186783
RR MEDICARE PTAN NUMBER
OR
05
—
134037
—
OR
01
—
1407812365
NBMC GROUP NPI NUMBER
OR
01
—
CD8723
RR MEDICARE GROUP NUMBER
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN NUMBER
OR
Enumeration date
12/12/2005
Last updated
04/19/2018
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