Individual
DR. DAT MANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14536 BROOKHURST ST, SUITE# 102, WESTMINSTER, CA 92683-5787
(714) 531-2548
Mailing address
14536 BROOKHURST ST, SUITE# 102, WESTMINSTER, CA 92683-5787
(714) 531-2548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A36056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A360562
—
CA
Enumeration date
01/13/2009
Last updated
01/13/2009
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